| Olivia A Raines, LCSW | |
|
98 Nocatee Village Dr, Ponte Vedra Beach, FL 32081-6152 | |
| (904) 376-3800 | |
| Not Available |
| Full Name | Olivia A Raines |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 98 Nocatee Village Dr, Ponte Vedra Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932956760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C016817 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW21758 (Florida) | Primary |
| Entity Name | Anuvia Prevention & Recovery Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093756819 PECOS PAC ID: 6507159084 Enrollment ID: O20160720002525 |
| Entity Name | Optum Behavioral Care Of North Carolina Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629843933 PECOS PAC ID: 5092120030 Enrollment ID: O20210224002078 |
| Mailing Address | Practice Location Address |
|---|---|
| Olivia A Raines, LCSW Po Box 748519, Atlanta, GA 30374-8519 Ph: (904) 376-3800 | Olivia A Raines, LCSW 98 Nocatee Village Dr, Ponte Vedra Beach, FL 32081-6152 Ph: (904) 376-3800 |
Deborah D. Hanna, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Executive Way, Suite 113, Ponte Vedra Beach, FL 32082 Phone: 904-273-6747 Fax: 904-273-6861 | |
Dr. Tina Jaeckle, PH.D. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 92 Voyager Ct, Ponte Vedra Beach, FL 32082 Phone: 904-237-2008 | |
Shani Hoffman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 611 Ponte Vedra Lakes Blvd Apt 2306, Ponte Vedra Beach, FL 32082 Phone: 904-800-8835 | |
Ms. Jennifer Marie Mallis, MSW, LCSW, QS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 174 Island Harbor Cir, Ponte Vedra Beach, FL 32082 Phone: 904-923-2108 | |
Lisa Duran, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 204 Crosstern Ct, Ponte Vedra Beach, FL 32082 Phone: 847-373-3836 | |
Ms. Jane Young Hill, L.C.S.W., D.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4400 Marsh Landing Blvd, Suite 6, Ponte Vedra Beach, FL 32082 Phone: 904-280-3344 Fax: 904-212-1903 | |
Cynthia Geddes, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 100 Executive Way, Suite 113, Ponte Vedra Beach, FL 32082 Phone: 904-273-6747 |