| Melissa Lowe, LCSW | |
|
301 Justice Ln, Bunnell, FL 32110-4487 | |
| (386) 254-1135 | |
| Not Available |
| Full Name | Melissa Lowe |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 301 Justice Ln, Bunnell, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154830024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 14618 (Florida) | Primary |
| Entity Name | Sondermind Provider Network LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20240620000157 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Lowe, LCSW 908 Hibiscus Ave, Holly Hill, FL 32117-3418 Ph: Not Available | Melissa Lowe, LCSW 301 Justice Ln, Bunnell, FL 32110-4487 Ph: (386) 254-1135 |
Erin Stewart Crimmins, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 301 Justice Ln, Bunnell, FL 32110 Phone: 386-254-1173 |
Mr. Angel Luis Torres, MSW, CAP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4750 E Moody Blvd Ste 209, Bunnell, FL 32110 Phone: 386-338-8103 |
Robert Aloysius Crimmins, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 301 Justice Ln, Bunnell, FL 32110 Phone: 386-236-3265 |
Amy Lynn Long, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 301 Justice Ln, Bunnell, FL 32110 Phone: 386-236-3126 |
Lori Jacobson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 103 Bay Street, Bunnell, FL 32137 Phone: 386-864-1744 |