DOUGLAS J PEGAN (NPI# 1922459866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922459866 |
| Entity Type | Individual |
| Full Name | DOUGLAS J PEGAN |
| Practice Address |
1220 S Dale Mabry Hwy Suite 201 Tampa FL 33629-5019 |
| Practice Telephone | 7274174997 |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2016-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 251B00000X | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 011807700 | 05 |
| Street Address |
1220 S DALE MABRY HWY SUITE 201 |
| City | TAMPA |
| State | FL |
| Zip Code | 33629-5019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053639286 | Burke Collins Therapy, Inc. | Physical Therapist | 1220 S Dale Mabry Hwy, Suite #101, Tampa, FL 33629-5019 | 2010-05-12 |
| 1205353562 | Sheila Williams | Case Management | 1220 S Dale Mabry Hwy, Ste 201, Tampa, FL 33629 | 2017-08-28 |
| 1457894115 | Ashley Singleton | Physical Therapist | 1220 S Dale Mabry Hwy, Tampa, FL 33629-5019 | 2016-11-29 |
| 1750831525 | Michelle Childs | Case Management | 1220 S Dale Mabry Hwy, Ste. 201, Tampa, FL 33629-5019 | 2016-10-05 |
| 1578019881 | Claudia Cifuentes | Case Management | 1220 S Dale Mabry Hwy, Ste. 201, Tampa, FL 33629-5019 | 2016-08-27 |
| 1003360876 | Lillian Echevarria | Social Worker | 1220 S Dale Mabry Hwy, Tampa, FL 33629-5019 | 2016-08-10 |
| 1346692134 | Felicia Romano | Case Manager/Care Coordinator | 1220 S Dale Mabry Hwy, Ste. 201, Tampa, FL 33629-5019 | 2016-07-06 |
| 1235506890 | Sin-cera, Inc. | Case Management | 1220 S Dale Mabry Hwy, Suite 201, Tampa, FL 33629-5019 | 2015-08-29 |
| 1164845467 | Jennifer Bona | Case Management | 1220 S Dale Mabry Hwy, Ste. 201, Tampa, FL 33629-5019 | 2014-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689162612 | Jake Morris | Counselor | 4003 W Morrison Ave, Tampa, FL 33629 | 2018-04-25 |
| 1689192411 | Madalyn Turner | Chiropractor | 3409 W Bay To Bay Blvd Ste B, Tampa, FL 33629 | 2017-08-31 |
| 1063865673 | South Tampa Dental Studio | Dentist | 4306 West Kensington Ave., Tampa, FL 33629 | 2016-07-19 |
| 1093198160 | Mi Ae Kwon | Dentist | 3739 W. Neptune St., Tampa, FL 33629 | 2015-07-07 |
| 1013394568 | Etairos Health, Inc | In Home Supportive Care | 2301 W Palm Ave, Tampa, FL 33629 | 2015-05-05 |
| 1053702589 | Kantilal N. Bhadja, Md | Internal Medicine | 4223 W. El Prado Blvd, Tampa, FL 33629 | 2015-02-05 |
| 1801174016 | Wang & Cortes Dental | Dentist | 1008 South Clearview Avenue, Tampa, FL 33629 | 2011-07-22 |
| 1174826176 | Jada Rae Danielle Traub | Behavioral Analyst | 3271 S. Macdill Ave, Tampa, FL 33629 | 2010-12-13 |
| 1275849846 | Kara Dawson | Physical Therapy Assistant | 3614 South Dale Mabry, Tampa, FL 33629 | 2010-08-20 |
| 1225350580 | Monteleone & Kessler, P.l. | Dentist | 4014 W. Estrella St., Suite B, Tampa, FL 33629 | 2010-02-26 |
| Find all providers in zip 33629 | ||||
| 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 |
|---|---|---|---|---|
| 1578178059 | Sherry Thi Hughes | Social Worker | 419 N Pierce St Ste 107, Tampa, FL 33602-4022 | 2020-09-11 |
| 1467062109 | Vaniece Johnson | Social Worker | 12421 N Florida Ave Ste 210b, Tampa, FL 33612-4277 | 2020-08-07 |
| 1508489915 | Courtney Gowen | Social Worker | 5331 Primrose Lake Cir Ste 209, Tampa, FL 33647-3751 | 2020-05-20 |
| 1023662749 | Yohana Botero | Social Worker | 6620 North Nebraska Ave, Tampa, FL 33604 | 2019-07-31 |
| 1073165551 | Tameka Oneal | Social Worker | 610 W Waters Ave Ste B&c, Tampa, FL 33604-2951 | 2019-07-15 |
| 1689149767 | Anamarie Antonetty | Social Worker | 7111 N 9th St, Tampa, FL 33604-5043 | 2018-10-04 |
| 1184101289 | Courtney Barton | Social Worker | 13101 N. Bruce B. Downs Blvd., Tampa, FL 33612 | 2018-07-23 |
| 1912404500 | Samantha Rhea Hagan | Social Worker | 10500-university Center Dr. Ste 215, Tampa, FL 33612-6490 | 2018-04-10 |
| 1760981658 | Kathleen Marie Murray | Social Worker | 5055 S Dale Mabry Hwy Apt 323, Tampa, FL 33611-3548 | 2018-02-06 |
| 1528566379 | Madelaine Pimentel Del Sol | Social Worker | 6033 Bayside Key Dr, Tampa, FL 33615-4284 | 2018-01-26 |
| Find all providers in TAMPA | ||||
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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.