| Samuel Robert Myrick, LSW | |
|
4422 E Columbus Dr, Tampa, FL 33605-3233 | |
| (813) 384-4128 | |
| Not Available |
| Full Name | Samuel Robert Myrick |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 4422 E Columbus Dr, Tampa, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316496045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW17232 (Florida) | Primary |
| 104100000X | Social Worker | MSW007015 (Georgia) | Secondary |
| Entity Name | Thriveworks Clinical - Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396360996 PECOS PAC ID: 5496173577 Enrollment ID: O20200922002675 |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Robert Myrick, LSW 123 W Hollywood St, Tampa, FL 33604-4041 Ph: (850) 363-7161 | Samuel Robert Myrick, LSW 4422 E Columbus Dr, Tampa, FL 33605-3233 Ph: (813) 384-4128 |
Darlene H Allen, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5707 N 22nd St, Tampa, FL 33610 Phone: 813-239-8000 Fax: 813-272-3766 | |
Bryant C Barbour, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4422 E Columbus Dr., Tampa, FL 33605 Phone: 813-384-4079 | |
Sasha J Thompson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 612 N Gomez Ave, Tampa, FL 33609 Phone: 813-787-1623 | |
Jennifer Faith Gobeli, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 8905 Regents Park Dr Ste 230, Tampa, FL 33647 Phone: 727-314-5468 | |
Monique Chevel Bell, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4520 Oak Fair Blvd, Tampa, FL 33610 Phone: 813-542-5500 | |
Janet Lynn Cramer, RCSWI Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3205 W De Leon St Unit A, Tampa, FL 33609 Phone: 813-748-1147 | |
Ms. Linda L Mann, LCSW, CAP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4422 E Columbus Dr, Tampa, FL 33605 Phone: 813-980-3866 Fax: 813-984-8374 |