| Sorrell Mercoglan, LCSW | |
|
2225 A1a S, Suite B5, Saint Augustine, FL 32080-2916 | |
| (518) 257-2975 | |
| Not Available |
| Full Name | Sorrell Mercoglan |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 2225 A1a S, Saint Augustine, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255741849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW10978 (Florida) | Primary |
| Entity Name | Aids Healthcare Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427218874 PECOS PAC ID: 2668369109 Enrollment ID: O20050525000558 |
| Mailing Address | Practice Location Address |
|---|---|
| Sorrell Mercoglan, LCSW 6255 W Sunset Blvd Fl 21, Los Angeles, CA 90028-7422 Ph: (323) 860-5200 | Sorrell Mercoglan, LCSW 2225 A1a S, Suite B5, Saint Augustine, FL 32080-2916 Ph: (518) 257-2975 |
Bethany Kleinhans, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1301 Plantation Island Dr S Ste 206a, Saint Augustine, FL 32080 Phone: 904-420-0580 | |
Mrs. Joan Tibaldi, LCSW, BCD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 612 Copperhead Cir, Saint Augustine, FL 32092 Phone: 904-679-4321 | |
Mr. Taylor Craig Johnston Jr., LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 38 S Dixie Hwy, Saint Augustine, FL 32084 Phone: 904-201-9894 | |
Cheryl Anne Ubelhor Kotyuk, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Long Branch Way, Saint Augustine, FL 32086 Phone: 765-491-8142 | |
Jill M Meehan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 105 Southpark Blvd Ste 202, Saint Augustine, FL 32086 Phone: 904-540-0999 | |
Lisa Marie Harvey, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1880 San Sebastian Vw, Saint Augustine, FL 32084 Phone: 386-383-1934 | |
Mrs. Jennie Angela Poma-jones, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 28 Kingstown Ct, Saint Augustine, FL 32092 Phone: 586-876-5549 |