| Teresa Jean Ingram, LCSW | |
|
3903 Paddlewheel Ct, Brandon, FL 33511-7959 | |
| (480) 220-8926 | |
| (802) 208-9264 |
| Full Name | Teresa Jean Ingram |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 30 Years |
| Location | 3903 Paddlewheel Ct, Brandon, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366711855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW16570 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grow Healthcare Group Pa | 3476961368 | 706 |
| Brave Health Inc. | 8123458981 | 77 |
| Grow Healthcare Group Pa | 3476961368 | 706 |
| Grow Healthcare Group Pa | 3476961368 | 706 |
| Entity Name | Brave Health Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821588674 PECOS PAC ID: 8123458981 Enrollment ID: O20200417001688 |
| 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 |
|---|---|
| Teresa Jean Ingram, LCSW 3903 Paddlewheel Ct, Brandon, FL 33511-7959 Ph: (480) 220-8926 | Teresa Jean Ingram, LCSW 3903 Paddlewheel Ct, Brandon, FL 33511-7959 Ph: (480) 220-8926 |
Kelsey Paterson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 126 Lithia Pinecrest Rd, Brandon, FL 33511 Phone: 813-689-8828 | |
Mr. Michael J Mazucci-mambala, L.C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 510 Vonderburg Dr, Suite 301, Brandon, FL 33511 Phone: 813-881-1000 | |
Jacob Ramos, RCSWI Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 510 Vonderburg Dr Ste 213, Brandon, FL 33511 Phone: 813-347-8483 | |
Ms. Cynthia Anne Fletcher, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 413 Ashford Dr, Brandon, FL 33511 Phone: 813-662-3441 | |
Michelle Ramirez, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 126 Lithia Pinecrest Rd, Brandon, FL 33511 Phone: 813-689-8828 | |
Karen Seales, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1419 Lake Lucerne Way, Brandon, FL 33511 Phone: 813-219-4551 | |
Jakayla Miller, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 205 Ridgewood Ave, Brandon, FL 33510 Phone: 813-816-1788 |