| Mrs Vanda Theophin-michel, LCSW | |
|
21033 Pine Knot Ln, Land O Lakes, FL 34637-7827 | |
| (919) 339-8611 | |
| (919) 400-4210 |
| Full Name | Mrs Vanda Theophin-michel |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 21033 Pine Knot Ln, Land O Lakes, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487787610 | NPI | - | NPPES |
| 6007310 | Medicaid | NC | |
| 768216600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C006199 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW8537 (Florida) | Primary |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Vanda Theophin-michel, LCSW 21033 Pine Knot Ln, Land O Lakes, FL 34637-7827 Ph: (919) 339-8611 | Mrs Vanda Theophin-michel, LCSW 21033 Pine Knot Ln, Land O Lakes, FL 34637-7827 Ph: (919) 339-8611 |
Mr. Christopher Simmons, M.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17838 Glenapp Drive, Land O Lakes, FL 34638 Phone: 813-843-5452 | |
Scott William Leu, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7227 Land O Lakes Blvd, Land O Lakes, FL 34638 Phone: 813-794-2366 | |
Mr. Antwuan Donnell Martin, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 10975 Osprey Glade Ter, Land O Lakes, FL 34638 Phone: 813-777-0899 | |
Sharon Miller, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4415 Mount Bandon Dr, Land O Lakes, FL 34638 Phone: 646-279-7942 | |
Kara Anne Gans-page, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 9052 Lost Mill Dr, Land O Lakes, FL 34638 Phone: 724-255-9337 | |
Alison Nocturne, LCSW, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25229 Beechwood Dr, Land O Lakes, FL 34639 Phone: 813-702-1773 | |
Melanie Lea Danielson, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 22436 Southshore Dr, Land O Lakes, FL 34639 Phone: 304-654-7557 |