Brent Metcalf, LCSW | |
208 Ferrell Ave, Kingsport, TN 37663-2336 | |
(423) 426-6901 | |
Not Available |
Full Name | Brent Metcalf |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 208 Ferrell Ave, Kingsport, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306490024 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 8013 (Tennessee) | Primary |
104100000X | Social Worker | 11891 (Tennessee) | Secondary |
Entity Name | Tri-star Counseling, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184376741 PECOS PAC ID: 4486049384 Enrollment ID: O20220310002898 |
Mailing Address | Practice Location Address |
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Brent Metcalf, LCSW 208 Ferrell Ave, Kingsport, TN 37663-2336 Ph: (423) 426-6901 | Brent Metcalf, LCSW 208 Ferrell Ave, Kingsport, TN 37663-2336 Ph: (423) 426-6901 |
Leonard Williams, LCSW, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2991 Fort Henry Dr, Kingsport, TN 37664 Phone: 423-392-2975 | |
Matthew Andrews, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1570 Waverly Rd, Kingsport, TN 37664 Phone: 423-224-1300 Fax: 423-467-3644 | |
Betty Jo Miller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2300 Pavilion Dr, Kingsport, TN 37660 Phone: 423-857-5571 Fax: 423-857-5237 | |
Cherub Seargeant, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1326 E Windsor St, Kingsport, TN 37660 Phone: 865-617-1086 | |
Stephanie Smith Boyles, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 605 Watauga St, Kingsport, TN 37660 Phone: 844-215-0811 Fax: 888-395-1262 | |
Mrs. Cynthia Dawn Ketron, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3218 Dutchess Dr, Kingsport, TN 37663 Phone: 423-239-5912 | |
Clarissa Abbott, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 605 Watauga St, Kingsport, TN 37660 Phone: 844-215-0811 |