Atiya Nathan, LCSW | |
240 Eisenhower Dr Ste C2, Biloxi, MS 39531-3649 | |
(228) 424-3427 | |
Not Available |
Full Name | Atiya Nathan |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 240 Eisenhower Dr Ste C2, Biloxi, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053889238 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0904010716 (Virginia) | Secondary |
1041C0700X | Social Worker - Clinical | 118007 (California) | Primary |
Entity Name | Fusion Care Group A Psychological Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275177982 PECOS PAC ID: 8921433590 Enrollment ID: O20200109000932 |
Mailing Address | Practice Location Address |
---|---|
Atiya Nathan, LCSW 2208 Pasadena Ct Unit 10, Chula Vista, CA 91915-2321 Ph: (859) 533-8356 | Atiya Nathan, LCSW 240 Eisenhower Dr Ste C2, Biloxi, MS 39531-3649 Ph: (228) 424-3427 |
Meagan Parker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1046 Division St, Biloxi, MS 39530 Phone: 228-374-2494 | |
Ms. Kristian Delane Clark, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 Veterans Ave, Biloxi, MS 39531 Phone: 228-523-5362 | |
Ricardo Durel Bolton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 Veterans Ave, Biloxi, MS 39531 Phone: 228-523-4783 | |
Marianne Marie Shaffer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 789 Sharon Hills Dr, Biloxi, MS 39532 Phone: 228-235-8011 | |
Alice Taake Entrekin, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 Veterans Ave, Biloxi, MS 39531 Phone: 228-523-4664 Fax: 228-523-4336 | |
Ms. Cassandra Bishop Nelson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 Veterans Ave, Biloxi, MS 39531 Phone: 228-523-4773 Fax: 228-523-5807 |