| Social Care Services, Llc | |
|
8833 Perimeter Park Blvd Ste 201 Jacksonville FL 32216 | |
| (904) 294-5329 | |
| (904) 485-8460 |
| Full Name | Social Care Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8833 Perimeter Park Blvd Ste 201, Jacksonville, Florida |
| Authorized Official Name and Position | Hydee Warren (COO) |
| Authorized Official Contact | 9042945329 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Social Care Services, Llc 8833 Perimeter Park Blvd Ste 201 Jacksonville FL 32216-1111 Ph: (904) 294-5329 | Social Care Services, Llc 8833 Perimeter Park Blvd Ste 201 Jacksonville FL 32216 Ph: (904) 294-5329 |
| NPI Number | 1013309657 |
|---|---|
| Provider Enumeration Date | 02/18/2015 |
| Last Update Date | 04/30/2025 |
| Certification Date | 04/30/2025 |
| Medicare PECOS PAC ID | 3577850106 |
|---|---|
| Medicare Enrollment ID | O20200827000226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013309657 | NPI | - | NPPES |
| 012289301 | Medicaid | FL | |
| 012289300 | Medicaid | FL | |
| 102214401 | Medicaid | FL | |
| 102214400 | Medicaid | FL |
| Provider Name | Alvaro Lacayo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275693335 PECOS PAC ID: 6507891603 Enrollment ID: I20050928000059 |
| Provider Name | Gail Mcwhirter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063763340 PECOS PAC ID: 5597909143 Enrollment ID: I20130920000340 |
| Provider Name | Hydee Warren |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942532403 PECOS PAC ID: 0749577377 Enrollment ID: I20240103002283 |
| Provider Name | John Warren |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639507254 PECOS PAC ID: 7012204647 Enrollment ID: I20240110002353 |
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