| Melissa Kenner, LCSW, LMSW | |
|
1865 Lime St Ste 100, Fernandina Beach, FL 32034-4779 | |
| (904) 321-8400 | |
| (904) 321-8401 |
| Full Name | Melissa Kenner |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 11 Years |
| Location | 1865 Lime St Ste 100, Fernandina Beach, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295106409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | MSW007082 (Georgia) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW15141 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physicians Group Services Pa | 1254238579 | 92 |
| Entity Name | Physicians Group Services Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861440810 PECOS PAC ID: 1254238579 Enrollment ID: O20031216000099 |
| Entity Name | Cotler Healthcare & Development Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225075047 PECOS PAC ID: 0143121145 Enrollment ID: O20040114000075 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Kenner, LCSW, LMSW 330 Corporate Way Ste 200, Orange Park, FL 32073-6214 Ph: (904) 282-6331 | Melissa Kenner, LCSW, LMSW 1865 Lime St Ste 100, Fernandina Beach, FL 32034-4779 Ph: (904) 321-8400 |
Cassandra Astolis, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1890 S 14th St Ste 312, Fernandina Beach, FL 32034 Phone: 850-778-7227 | |
Kristen Toni Thomas, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1201 Atlantic Ave, Fernandina Beach, FL 32034 Phone: 912-552-2040 | |
Erika Jean Kristensen, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1405 Park Ave Ste 201, Fernandina Beach, FL 32034 Phone: 904-895-4780 | |
Margaret Nick, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1890 S 14th St Ste 110, Fernandina Beach, FL 32034 Phone: 904-383-0626 | |
Ms. Alana Woods, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1445 Sadler Rd # 1001, Fernandina Beach, FL 32034 Phone: 850-270-7166 | |
Shelly Fulford Wilson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2127 Blue Heron Ct, Fernandina Beach, FL 32034 Phone: 904-206-1028 |