| Mrs Mirna Alejandra Velasquez, LCSW, CTS | |
|
725 N 12th Ave Bldg B, Arcadia, FL 34266-8752 | |
| (863) 494-1242 | |
| (863) 491-0466 |
| Full Name | Mrs Mirna Alejandra Velasquez |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 20 Years |
| Location | 725 N 12th Ave Bldg B, Arcadia, 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 |
|---|---|---|---|
| 1023291168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW 10322 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| I-bos Counseling Center, Llc | 4587062864 | 9 |
| Entity Name | I-bos Counseling Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851529150 PECOS PAC ID: 4587062864 Enrollment ID: O20211018002599 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Mirna Alejandra Velasquez, LCSW, CTS 700 8th Ave W Ste 101, Palmetto, FL 34221-4737 Ph: (941) 776-4008 | Mrs Mirna Alejandra Velasquez, LCSW, CTS 725 N 12th Ave Bldg B, Arcadia, FL 34266-8752 Ph: (863) 494-1242 |
Regina M Schau, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1110 E Gibson St, Arcadia, FL 34266 Phone: 863-494-6222 Fax: 941-708-8893 | |
Ms. Michelle Paisley, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 725 N 12th Ave Bldg B, Arcadia, FL 34266 Phone: 863-494-1242 | |
Mrs. Tracey Nicole Waite, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 725 N 12th Ave Bldg B, Arcadia, FL 34266 Phone: 863-494-1242 | |
Karla A Mason, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 725 N 12th Ave Bldg B, Arcadia, FL 34266 Phone: 863-494-1242 | |
Ms. Noeline Jean-marie Coore, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 725 N 12th Ave Bldg B, Arcadia, FL 34266 Phone: 863-494-1242 | |
Clare Sophia Walter, M.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 725 N 12th Ave Bldg B, Arcadia, FL 34266 Phone: 863-494-1242 |