| Scott Berg, ISW 9192 | |
|
2140 N Don Wickham Dr, Clermont, FL 34711-1922 | |
| (352) 394-5322 | |
| (352) 394-1103 |
| Full Name | Scott Berg |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 12 Years |
| Location | 2140 N Don Wickham Dr, Clermont, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376090498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | ISW9192 (Florida) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW13955 (* (Not Available)) | Primary |
| Entity Name | Lifestream Behavioral Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902802002 PECOS PAC ID: 7012992720 Enrollment ID: O20040618000512 |
| Entity Name | Transformative Healthcare Solutions Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477114031 PECOS PAC ID: 8921337973 Enrollment ID: O20190917001257 |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Berg, ISW 9192 528 Carrera Dr, Lady Lake, FL 32159-9249 Ph: (352) 446-0995 | Scott Berg, ISW 9192 2140 N Don Wickham Dr, Clermont, FL 34711-1922 Ph: (352) 394-5322 |
Altagrace K Souverain, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2140 N Don Wickham Dr, Clermont, FL 34711 Phone: 352-394-5922 | |
Pamela Quiroz, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 509 Cagan View Rd, Clermont, FL 34714 Phone: 407-905-8827 Fax: 407-905-8998 | |
Mrs. Mary Lane Marrero, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 297 E Highway 50 Ste 1, Clermont, FL 34711 Phone: 352-404-6589 | |
Massiel Hernandez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4300 S Hwy 27 Ste 205b, Clermont, FL 34711 Phone: 407-374-5139 | |
Rona Ingrid Henriques, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 450 E Highway 50, Clermont, FL 34711 Phone: 352-432-2127 Fax: 352-432-2127 | |
Alyssa Bellin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2400 S Hwy 27 Ste B201, Clermont, FL 34711 Phone: 727-254-9092 | |
Joelle June Bangsund, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 835 Oakley Seaver Dr, S, Clermont, FL 34711 Phone: 352-241-9282 Fax: 352-241-4282 |