ANDREA GOLLEGLY (NPI# 1750940722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750940722 |
| Entity Type | Individual |
| Full Name | ANDREA GOLLEGLY |
| Practice Address |
1673 Mason Ave Daytona Beach FL 32117-5515 |
| Mailing Address |
1219 Dunn Ave Daytona Beach FL 32114-2405 |
| Practice Telephone | 3869447813 |
| Practice Fax Number | 3862523403 |
| Mailing Telephone | 3869447813 |
| Mailing Fax Number | 3862523403 |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-06-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 0000000000 | 05 |
| Street Address |
1673 MASON AVE |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32117-5515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942207709 | Thomas J Green Jr. | Radiology | 1673 Mason Ave, Suite 305, Daytona Beach, FL 32117-5515 | 2005-07-07 |
| 1255978896 | Angela Cook | Social Worker | 1673 Mason Ave, Daytona Beach, FL 32117-5515 | 2019-12-03 |
| 1235620527 | Precious Monique Spencer | Registered Nurse | 1673 Mason Ave, Daytona Beach, FL 32117-5515 | 2018-05-23 |
| 1124537592 | Beverly Jean Craigle | Registered Nurse | 1673 Mason Ave, Daytona Beach, FL 32117-5515 | 2017-09-28 |
| 1659829216 | Mackenzie Schwarb | Social Worker | 1673 Mason Ave, Suite 100, Daytona Beach, FL 32117-5515 | 2016-09-13 |
| 1841621117 | Preferred Radiology Alliance, Pllc | Radiology | 1673 Mason Ave, Suite 305, Daytona Beach, FL 32117-5515 | 2013-12-11 |
| 1285834002 | Marjorie A Thurlow | Radiology | 1673 Mason Ave, Suite# 305, Daytona Beach, FL 32117-5515 | 2007-07-19 |
| 1619037025 | Craig A. Roberto | Radiology | 1673 Mason Ave, Suite# 305, Daytona Beach, FL 32117-5515 | 2006-12-08 |
| 1003905290 | John William Gianini | Radiology | 1673 Mason Ave, Suite 305, Daytona Beach, FL 32117-5515 | 2006-10-12 |
| 1518054535 | Alireza Bozorgmanesh | Radiology | 1673 Mason Ave, Suite 305, Daytona Beach, FL 32117-5515 | 2006-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992350409 | Erin Selfridge | Pharmacist | 1500 Beville Rd #300, Daytona Beach, FL 32117 | 2019-08-02 |
| 1881185494 | Wellspring Health, LLC | Chiropractor | 701 Ridgewood Ave, Holly Hills, FL 32117 | 2018-05-21 |
| 1780172791 | L & L Db, LLC | Clinic/Center | 1540 Cornerstone Blvd, Suite 100, Daytona Beach, FL 32117 | 2018-04-25 |
| 1154837789 | Brittany Nikolow | Nurse Practitioner | 1717 N. Clyde Morris, Daytona Beach, FL 32117 | 2017-12-19 |
| 1205356946 | Alejandro Andre Pabon Rodriguez | Nurse Anesthetist, Certified Registered | Florida Hospital Memorial Medical Center, 301 Memorial Medical Parkway, Daytona Beach, FL 32117 | 2017-06-23 |
| 1316492135 | Ann Van Herck | Physical Therapist | 1901 Mason Ave Ste 105, Daytona Beach, FL 32117 | 2016-08-22 |
| 1952784779 | Kathryn Brenna Copley | Nurse Practitioner | 1890 Lpga Blvd., Daytona Beach, FL 32117 | 2015-06-30 |
| 1053719559 | Alicia Graham | Case Manager/Care Coordinator | 1570 Megan Bay Circle, Holly Hill, FL 32117 | 2014-12-15 |
| 1578974440 | Halifax Senior Care Inc | Clinic/Center | 1515 Ridgewood Ave, Suite B, Holly Hill, FL 32117 | 2014-05-14 |
| 1013345883 | Kist Alf, Inc | Assisted Living Facility | 1516 Carmen Avenue, Daytona Beach, FL 32117 | 2013-10-14 |
| Find all providers in zip 32117 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710330865 | Kishmar Petersen | Social Worker | 589 South Ct, Daytona Beach, FL 32114-6009 | 2016-07-13 |
| 1093113276 | Jessica Grobman | Social Worker | 778 Jimmy Ann Dr, 1109, Daytona Beach, FL 32114-7408 | 2014-12-20 |
| 1093062952 | Shelly Ann Stum | Social Worker | 257 Georgetowne Blvd, Daytona Beach, FL 32119-8903 | 2012-08-10 |
| 1780855049 | Felicia Walker | Social Worker | 841 Jimmy Ann Drive, Halifax Behavioral Services, Daytona Beach, FL 32117-4583 | 2008-03-14 |
| 1013054071 | Tracy Coleman Lewandowski | Social Worker | 150 S Palmetto Ave Ste 200 # R, Daytona Beach, FL 32114-4336 | 2007-01-31 |
| 1104963909 | Wanda Ortiz-alvarez | Social Worker | 1011 W International Speedway Blvd, Daytona Beach, FL 32114-3421 | 2007-01-31 |
| 1134720428 | Enereida Ramos Rodriguez | Social Worker | 551 National Health Care Dr, Daytona Beach, FL 32114-1495 | 2020-11-04 |
| 1710500764 | Lakeita Doster | Social Worker | 1821 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2020-05-26 |
| 1255978896 | Angela Cook | Social Worker | 1673 Mason Ave, Daytona Beach, FL 32117-5515 | 2019-12-03 |
| 1285270843 | Sarah Burrows | Social Worker | 1220 Willis Ave, Daytona Beach, FL 32114-2810 | 2019-11-19 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32117 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.