Antonia Alaine Johnson, LCSW | |
941 Simonton Crest Way, Lawrenceville, GA 30045-3507 | |
(914) 606-1530 | |
Not Available |
Full Name | Antonia Alaine Johnson |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 941 Simonton Crest Way, Lawrenceville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1801503529 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CSW008318 (Georgia) | Primary |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210225002747 |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220315000829 |
Mailing Address | Practice Location Address |
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Antonia Alaine Johnson, LCSW 941 Simonton Crest Way, Lawrenceville, GA 30045-3507 Ph: (914) 606-1530 | Antonia Alaine Johnson, LCSW 941 Simonton Crest Way, Lawrenceville, GA 30045-3507 Ph: (914) 606-1530 |
Miss Opal Hope Minott, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1083 Simonton Hill Ct, Lawrenceville, GA 30045 Phone: 770-375-0479 Fax: 678-985-4228 | |
Ms. Tomekia Holandia Raines, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 270 W Oak St Ste 2, Lawrenceville, GA 30046 Phone: 770-866-1060 | |
Akisha Miller, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 888 Legacy Park Dr Ste 301, Lawrenceville, GA 30043 Phone: 855-284-7483 Fax: 617-807-0958 | |
Natali Nelson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1760 Lakes Pkwy Unit 4416, Lawrenceville, GA 30043 Phone: 413-427-3627 | |
Ms. Jasmine Denise Williams, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2229 Oakland Downs Way, Lawrenceville, GA 30044 Phone: 850-524-9069 | |
Ms. Jacklyn J Montero, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 175 Gwinnett Dr, Lawrenceville, GA 30045 Phone: 770-339-5377 Fax: 770-339-5016 | |
Gail S Hammond, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 295 S Culver St Ste A, Lawrenceville, GA 30046 Phone: 770-217-7903 Fax: 770-995-0171 |