Amy Jackson, MSW | |
120 Capcom Ave Ste 101, Wake Forest, NC 27587-6537 | |
(919) 792-3967 | |
(919) 761-5026 |
Full Name | Amy Jackson |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 14 Years |
Location | 120 Capcom Ave Ste 101, Wake Forest, North Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386986073 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | C008972 (North Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mindpath Care Centers North Carolina Pllc | 4688655517 | 75 |
Thriveworks Clinical - North Carolina Pc | 8527471200 | 96 |
Entity Name | Mindpath Care Centers North Carolina Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508803214 PECOS PAC ID: 4688655517 Enrollment ID: O20040526001582 |
Entity Name | Rha Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447376306 PECOS PAC ID: 8426196072 Enrollment ID: O20091119000172 |
Entity Name | Thriveworks Clinical - North Carolina Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003303082 PECOS PAC ID: 8527471200 Enrollment ID: O20210120000669 |
Mailing Address | Practice Location Address |
---|---|
Amy Jackson, MSW 204 Muirs Chapel Rd, Suite 305, Greensboro, NC 27410-6173 Ph: () - | Amy Jackson, MSW 120 Capcom Ave Ste 101, Wake Forest, NC 27587-6537 Ph: (919) 792-3967 |
Tracee Gregory, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 833 Wake Forest Business Park, Suite G, Wake Forest, NC 27587 Phone: 919-554-1231 Fax: 919-554-2406 | |
Carolina Ramirez, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3745 Willow Stone Ln, Wake Forest, NC 27587 Phone: 646-244-1629 | |
Minnie Simmons Vickers, MSW, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2000 S Main St, Wake Forest, NC 27587 Phone: 919-521-0665 | |
Mrs. Angela Karen Bridges, M.S.W., L.C.S.W Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7304 Mithrasdowne Ct, Wake Forest, NC 27587 Phone: 919-671-3317 Fax: 919-761-1244 | |
Ms. Michelle Kathlyn Bates, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 120 Capcom Ave Ste 101, Wake Forest, NC 27587 Phone: 919-792-3967 Fax: 919-761-5026 | |
Hilary Leath Norris, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1613 Forest Rd, Wake Forest, NC 27587 Phone: 919-608-4096 | |
Kimberly L Konderla, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10580 Ligon Mill Rd, Wake Forest, NC 27587 Phone: 919-263-9592 |