| Direct Access Counseling And Supportive Services | |
|
223 E Oak St Apt 3 Arcadia FL 34266-4445 | |
| (239) 652-0260 | |
| (239) 652-0146 |
| Full Name | Direct Access Counseling And Supportive Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 223 E Oak St Apt 3, Arcadia, Florida |
| Authorized Official Name and Position | Larry Beuer (CEO) |
| Authorized Official Contact | 2396520260 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Direct Access Counseling And Supportive Services 223 E Oak St Apt 3 Arcadia FL 34266-4445 Ph: (239) 652-0260 | Direct Access Counseling And Supportive Services 223 E Oak St Apt 3 Arcadia FL 34266-4445 Ph: (239) 652-0260 |
| NPI Number | 1679011449 |
|---|---|
| Provider Enumeration Date | 02/01/2017 |
| Last Update Date | 03/04/2024 |
| Certification Date | 03/04/2024 |
| Medicare PECOS PAC ID | 3971878398 |
|---|---|
| Medicare Enrollment ID | O20171010002520 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679011449 | NPI | - | NPPES |
| Provider Name | Brian J Trela |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245272871 PECOS PAC ID: 2860410537 Enrollment ID: I20051110000830 |
| Provider Name | Tammy Lynn Ondrejka |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356373039 PECOS PAC ID: 8527077379 Enrollment ID: I20060406000388 |
| Provider Name | Elisa Dorrough Ewing |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689745051 PECOS PAC ID: 8224103825 Enrollment ID: I20080815000608 |
| Provider Name | Gilbert N Kaufman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164697710 PECOS PAC ID: 7012077258 Enrollment ID: I20081118000802 |
| Provider Name | Patricia M Dumont |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952556060 PECOS PAC ID: 8123184108 Enrollment ID: I20090226000303 |
| Provider Name | Sandra Friedman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255549028 PECOS PAC ID: 3870639784 Enrollment ID: I20091007000357 |
| Provider Name | Justin Harrison Mcmanus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083755391 PECOS PAC ID: 4082899976 Enrollment ID: I20110419000249 |
| Provider Name | Colleen Mayo Friedman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295014488 PECOS PAC ID: 5698945715 Enrollment ID: I20110829000498 |
| Provider Name | Emily C Martinsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922154996 PECOS PAC ID: 6901073196 Enrollment ID: I20120111000222 |
| Provider Name | Marcie Mcmaster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174897052 PECOS PAC ID: 2062679343 Enrollment ID: I20120130000633 |
| Provider Name | Edward W Clewell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205102084 PECOS PAC ID: 2062676851 Enrollment ID: I20120606000683 |
| Provider Name | Joan E Welker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215246095 PECOS PAC ID: 8921255027 Enrollment ID: I20120824000227 |
| Provider Name | Mark T Sandvoss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710248919 PECOS PAC ID: 6901055987 Enrollment ID: I20121008000262 |
| Provider Name | Christopher R Messersmith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952653396 PECOS PAC ID: 0941453542 Enrollment ID: I20130110000051 |
| Provider Name | Jennie Beuer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518268291 PECOS PAC ID: 8426202276 Enrollment ID: I20130204000303 |
| Provider Name | Debra Lynn Stone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598015851 PECOS PAC ID: 4981849411 Enrollment ID: I20130403000486 |
| Provider Name | Lyntressa Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083955793 PECOS PAC ID: 3375784911 Enrollment ID: I20130724000965 |
| Provider Name | Nellie Garcia-kovacs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649413808 PECOS PAC ID: 6002878857 Enrollment ID: I20131018001416 |
| Provider Name | Sara F King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073753604 PECOS PAC ID: 3577793157 Enrollment ID: I20140226002159 |
| Provider Name | Erin Porter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528478096 PECOS PAC ID: 3476770207 Enrollment ID: I20140819000356 |
| Provider Name | Valerie Rozier Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841344728 PECOS PAC ID: 3274831912 Enrollment ID: I20160414000302 |
| Provider Name | Raymond Giunta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356732945 PECOS PAC ID: 9335458710 Enrollment ID: I20170213000765 |
| Provider Name | Vada Parke-gaskin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669906079 PECOS PAC ID: 9436426939 Enrollment ID: I20170605002785 |
| Provider Name | Christopher Anthony Wilcox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891229712 PECOS PAC ID: 6507139524 Enrollment ID: I20170913001040 |
| Provider Name | James A Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568641611 PECOS PAC ID: 6204739766 Enrollment ID: I20171030002135 |
| Provider Name | Yalily Perez Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124543962 PECOS PAC ID: 2769748029 Enrollment ID: I20171102002168 |
| Provider Name | Melissa Anne Klemkosky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457860017 PECOS PAC ID: 3870859739 Enrollment ID: I20171108002829 |
| Provider Name | Cynthia Schwartz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275045296 PECOS PAC ID: 0345508354 Enrollment ID: I20171221000843 |
| Provider Name | Patrick Mcgeever |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396842738 PECOS PAC ID: 6406115179 Enrollment ID: I20180125003140 |
| Provider Name | Serlina James |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427305762 PECOS PAC ID: 5698035053 Enrollment ID: I20180202000009 |
| Provider Name | Morris D Rushing |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205112224 PECOS PAC ID: 8820350218 Enrollment ID: I20180323000114 |
| Provider Name | Charity Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154823763 PECOS PAC ID: 9436411493 Enrollment ID: I20180403001018 |
| Provider Name | Ariel Lindsay Price |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1225405756 PECOS PAC ID: 5597020057 Enrollment ID: I20180604001906 |
| Provider Name | Viviana Matiz Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144586454 PECOS PAC ID: 6406102037 Enrollment ID: I20180711003166 |
| Provider Name | Shantreirra Monroe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194169474 PECOS PAC ID: 1951659168 Enrollment ID: I20180803002365 |
| Provider Name | Jose Luis Garcia-mayor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104296425 PECOS PAC ID: 3577830306 Enrollment ID: I20180810002307 |
| Provider Name | Marchelle J Rachel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306812375 PECOS PAC ID: 7517218100 Enrollment ID: I20180920001560 |
| Provider Name | Lisa Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649681867 PECOS PAC ID: 0648521633 Enrollment ID: I20181002001488 |
| Provider Name | Renee Tong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811494347 PECOS PAC ID: 7911259759 Enrollment ID: I20181005002691 |
| Provider Name | Susana Colaluci |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801285390 PECOS PAC ID: 0547512717 Enrollment ID: I20181017000003 |
| Provider Name | Nicole A Spall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780167809 PECOS PAC ID: 0143574962 Enrollment ID: I20181114002305 |
| Provider Name | Amy Sue Polsinelli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740505510 PECOS PAC ID: 2264786797 Enrollment ID: I20181119002253 |
| Provider Name | Claudia L Iantorno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861468126 PECOS PAC ID: 8628249919 Enrollment ID: I20181126000711 |
| Provider Name | Mireille Taime |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003399676 PECOS PAC ID: 6709121395 Enrollment ID: I20190102000381 |
| Provider Name | Onessa Robertson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417456807 PECOS PAC ID: 3779828371 Enrollment ID: I20190102000559 |
| Provider Name | Esther V Leger-odom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912164914 PECOS PAC ID: 2365780160 Enrollment ID: I20190220000945 |
| Provider Name | William Besterman Iv |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336634781 PECOS PAC ID: 8426397241 Enrollment ID: I20190221003105 |
| Provider Name | Julia Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124480843 PECOS PAC ID: 0547509432 Enrollment ID: I20190312001677 |
| Provider Name | Ana I Newman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942722335 PECOS PAC ID: 5395092985 Enrollment ID: I20190321001050 |
| Provider Name | Paul A Furino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902065931 PECOS PAC ID: 2062575236 Enrollment ID: I20190415000314 |
| Provider Name | Anika Cooke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366805061 PECOS PAC ID: 1658670484 Enrollment ID: I20190417002082 |
| Provider Name | Jessy Sebastian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467016170 PECOS PAC ID: 7911240734 Enrollment ID: I20190520000735 |
| Provider Name | Bethanie Wooten |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023441615 PECOS PAC ID: 6103051321 Enrollment ID: I20190530000716 |
| Provider Name | Amy Hyland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073170767 PECOS PAC ID: 3072847367 Enrollment ID: I20190619003251 |
| Provider Name | Katherine Elizabeth Barrett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871146886 PECOS PAC ID: 9335476688 Enrollment ID: I20190808001868 |
| Provider Name | Erin Jane Bell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871155390 PECOS PAC ID: 9335476589 Enrollment ID: I20190809001776 |
| Provider Name | Lashunda F Watkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790339786 PECOS PAC ID: 4183953136 Enrollment ID: I20190917001367 |
| Provider Name | Gladys Andre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710421359 PECOS PAC ID: 9830429596 Enrollment ID: I20190923001536 |
| Provider Name | Kristen Nicole Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548812274 PECOS PAC ID: 5496085193 Enrollment ID: I20190923003364 |
| Provider Name | Tracey Weeden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144471756 PECOS PAC ID: 5092023440 Enrollment ID: I20191031000907 |
| Provider Name | Mark Peluso |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316243702 PECOS PAC ID: 5890947345 Enrollment ID: I20191212000354 |
| Provider Name | Julie Casperson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497261473 PECOS PAC ID: 7012341530 Enrollment ID: I20191216002155 |
| Provider Name | Rosalyn Anita Stewart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912265638 PECOS PAC ID: 1153755954 Enrollment ID: I20200103000973 |
| Provider Name | Ivette Medrano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639678899 PECOS PAC ID: 6901230655 Enrollment ID: I20200106000875 |
| Provider Name | Donna Donna Marino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821586264 PECOS PAC ID: 7719225341 Enrollment ID: I20200123002981 |
| Provider Name | Cheryl Howard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710342811 PECOS PAC ID: 4789010869 Enrollment ID: I20200210000526 |
| Provider Name | Mary Mattice |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700221645 PECOS PAC ID: 5496181430 Enrollment ID: I20200211000489 |
| Provider Name | Destinie Wood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770006421 PECOS PAC ID: 9436585270 Enrollment ID: I20200214000466 |
| Provider Name | Ebony M Brooks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295211936 PECOS PAC ID: 1850728403 Enrollment ID: I20200221000139 |
| Provider Name | Suzanne Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255676417 PECOS PAC ID: 4688001076 Enrollment ID: I20200225000666 |
| Provider Name | Linda Lorrayne Sessions |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598269581 PECOS PAC ID: 1254769441 Enrollment ID: I20200323001295 |
| Provider Name | Claudia Maria Cardamone-hoffman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780234401 PECOS PAC ID: 0143659391 Enrollment ID: I20200409000643 |
| Provider Name | Elizabeth Gail Lerner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164710166 PECOS PAC ID: 9436588621 Enrollment ID: I20200409002508 |
| Provider Name | Shakiyla Karice Hart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104445337 PECOS PAC ID: 8820428568 Enrollment ID: I20200421003028 |
| Provider Name | Marsha Richards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508253352 PECOS PAC ID: 8921439969 Enrollment ID: I20200507001829 |
| Provider Name | Melanie Deckman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043849615 PECOS PAC ID: 5698196715 Enrollment ID: I20200528000758 |
| Provider Name | Ramona C Tyler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457975443 PECOS PAC ID: 8820410962 Enrollment ID: I20200618003093 |
| Provider Name | Mary Hosey-pardi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730701038 PECOS PAC ID: 8527482785 Enrollment ID: I20200721001537 |
| Provider Name | Tracy Elizabeth Kennedy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942818018 PECOS PAC ID: 5193141695 Enrollment ID: I20200814000330 |
| Provider Name | Karine Lila Johannes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013282599 PECOS PAC ID: 9335565274 Enrollment ID: I20200821002095 |
| Provider Name | Doreen Brady |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669789665 PECOS PAC ID: 5193142651 Enrollment ID: I20200828000917 |
| Provider Name | Lisa B Meotti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104473321 PECOS PAC ID: 3476970591 Enrollment ID: I20200903000267 |
| Provider Name | Kristen L Jalovecky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780290247 PECOS PAC ID: 0749600765 Enrollment ID: I20201013002387 |
| Provider Name | John Druilhet Johnston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942469648 PECOS PAC ID: 5496786303 Enrollment ID: I20201112000157 |
| Provider Name | Jennifer T Gardner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336452408 PECOS PAC ID: 8527479690 Enrollment ID: I20201120000503 |
| Provider Name | Shannon A Broverman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659571214 PECOS PAC ID: 4486066867 Enrollment ID: I20201208002183 |
| Provider Name | Katrina Forman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447538269 PECOS PAC ID: 1658785233 Enrollment ID: I20210121001896 |
| Provider Name | Sharon Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346634730 PECOS PAC ID: 5597022962 Enrollment ID: I20210128000358 |
| Provider Name | Shirley Mathieu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295273779 PECOS PAC ID: 0446665806 Enrollment ID: I20210216002901 |
| Provider Name | Miranda Ann Herbert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124540570 PECOS PAC ID: 4688080153 Enrollment ID: I20210308001814 |
| Provider Name | Jennifer Hudak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457911570 PECOS PAC ID: 3476960881 Enrollment ID: I20210401000327 |
| Provider Name | Donna Ryan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518148899 PECOS PAC ID: 9638336712 Enrollment ID: I20210730002321 |
| Provider Name | Lenea Cyntha Carnes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801311428 PECOS PAC ID: 2567868219 Enrollment ID: I20210907000800 |
| Provider Name | Diana Monroe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639309024 PECOS PAC ID: 4587052592 Enrollment ID: I20211025001570 |
| Provider Name | Marsha A. Kerr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245544477 PECOS PAC ID: 7618369091 Enrollment ID: I20220114000729 |
| Provider Name | Nicole Christine Rivers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184721292 PECOS PAC ID: 1254725708 Enrollment ID: I20220225000824 |
| Provider Name | Carolyn Hallinan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093469223 PECOS PAC ID: 6002087541 Enrollment ID: I20220228002360 |
| Provider Name | Jacqueline- Anne - Brock Armand |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851982078 PECOS PAC ID: 0345627865 Enrollment ID: I20220520002443 |
| Provider Name | Nancy Becker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962900035 PECOS PAC ID: 8628333051 Enrollment ID: I20220525003009 |
| Provider Name | Kathryn Diep |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700524451 PECOS PAC ID: 2163800012 Enrollment ID: I20220604000072 |
| Provider Name | Robert Seigel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912043050 PECOS PAC ID: 9931295664 Enrollment ID: I20220621001691 |
| Provider Name | Alfred Solomon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467788711 PECOS PAC ID: 2365824380 Enrollment ID: I20220806000796 |
| Provider Name | David Roger Ramey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639803794 PECOS PAC ID: 5496138034 Enrollment ID: I20220816000092 |
| Provider Name | Lorraine Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104557412 PECOS PAC ID: 6800271685 Enrollment ID: I20220914002401 |
| Provider Name | Trudy-ann Elizabeth Powell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629304571 PECOS PAC ID: 4688047160 Enrollment ID: I20230303000332 |
| Provider Name | Carolyn Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265138507 PECOS PAC ID: 9830563394 Enrollment ID: I20230323001595 |
| Provider Name | Alyssa Coughennower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346960978 PECOS PAC ID: 5092191205 Enrollment ID: I20230501002973 |
| Provider Name | Sydney Johna Venuti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346732625 PECOS PAC ID: 0648643247 Enrollment ID: I20230503001176 |
| Provider Name | Loquita D Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215965850 PECOS PAC ID: 9537104054 Enrollment ID: I20230524000509 |
| Provider Name | Lisa Hulsizer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245775105 PECOS PAC ID: 2860850187 Enrollment ID: I20230620000165 |
| Provider Name | Svetlana Troitskaia-williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922145671 PECOS PAC ID: 7911988803 Enrollment ID: I20230810003528 |
| Provider Name | Dena Barbiere |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598444838 PECOS PAC ID: 1658732706 Enrollment ID: I20230816002081 |
| Provider Name | Beatriz Oliveras Fria |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205428224 PECOS PAC ID: 2365806734 Enrollment ID: I20230919000821 |
| Provider Name | Maureen Muckle Rogers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831280601 PECOS PAC ID: 1658798111 Enrollment ID: I20231122001214 |
| Provider Name | Tondalyn Ganita Byrd |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801168554 PECOS PAC ID: 8527411198 Enrollment ID: I20240130003665 |
| Provider Name | Raluca Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437885894 PECOS PAC ID: 5890148464 Enrollment ID: I20240130003688 |
| Provider Name | Lisa Marie Longo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902813819 PECOS PAC ID: 2769835107 Enrollment ID: I20240201001213 |
| Provider Name | Rebecca Dickerson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194501726 PECOS PAC ID: 4284087685 Enrollment ID: I20240201003196 |
| Provider Name | Bria Young |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588155469 PECOS PAC ID: 5496108714 Enrollment ID: I20240201004375 |
Mcr Health, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 707 N 12th Ave, Arcadia, FL 34266 Phone: 863-494-1242 Fax: 863-491-0466 | |
Drug-free Desoto Coalition Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 530 Lasolona Ave, Arcadia, FL 34266 Phone: 863-494-4222 | |
Mcr Health, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1148 E Gibson St, Arcadia, FL 34266 Phone: 863-494-6222 Fax: 941-708-8893 | |
Community Care Family Clini Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 725 N 12th Ave, Arcadia, FL 34266 Phone: 863-494-1242 Fax: 863-491-0466 | |
Mcr Health, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 707 N 12th Ave, Arcadia, FL 34266 Phone: 863-494-1242 | |
Mcr Health, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 725 N 12th Ave, Arcadia, FL 34266 Phone: 863-494-1242 Fax: 863-491-0466 |