| 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 | Social Worker - Clinical | 
| Location | 3903 Paddlewheel Ct, Brandon, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1366711855 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW16570 (Florida) | Primary | 
| 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  | |
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  | |
Brittany Wilson, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 126 Lithia Pinecrest Rd, Brandon, FL 33511 Phone: 813-689-8828 Fax: 813-689-8802  | |
Garrett Griffith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1032 E Brandon Blvd # 7553, Brandon, FL 33511 Phone: 850-890-7553  |