Mrs Kristin H Green, LCSW | |
330 Kay Larkin Dr, Palatka, FL 32177-2307 | |
(386) 329-3780 | |
Not Available |
Full Name | Mrs Kristin H Green |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 330 Kay Larkin Dr, Palatka, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376522797 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 13690 (Florida) | Primary |
Entity Name | Sma Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356329163 PECOS PAC ID: 0244226363 Enrollment ID: O20040423000483 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kristin H Green, LCSW 329 Seminole Dr, Ormond Beach, FL 32174-5823 Ph: (386) 214-1570 | Mrs Kristin H Green, LCSW 330 Kay Larkin Dr, Palatka, FL 32177-2307 Ph: (386) 329-3780 |
Mrs. Jacqueline Eleanor Myers, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 330 Kay Larkin Drive, Palatka, FL 32177 Phone: 386-329-3780 Fax: 386-329-3786 | |
Mr. Mark Peluso, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 400 N State Road 19 Ste 48, Palatka, FL 32177 Phone: 386-329-8800 | |
Jennifer Young, CRPS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 156 Geck Rd, Palatka, FL 32177 Phone: 386-336-8139 | |
Elizabeth C Lamont, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 615 Crill Ave, Palatka, FL 32177 Phone: 719-581-0874 Fax: 844-741-3242 | |
Helen Karilynn Hawkins, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 640 W Peniel Rd, Palatka, FL 32177 Phone: 904-769-1918 | |
Mr. Stefan Michael Weeks, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 N State Road 19 Ste 48, Palatka, FL 32177 Phone: 386-329-8800 |