Carey Martin, LCSW | |
1911 Mission 66 Ste B, Vicksburg, MS 39180-3762 | |
(601) 665-4162 | |
(855) 830-3484 |
Full Name | Carey Martin |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1911 Mission 66 Ste B, Vicksburg, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396487112 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | C8050 (Mississippi) | Primary |
Entity Name | Mdb Behavioral Health Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669835310 PECOS PAC ID: 0749572915 Enrollment ID: O20160708000104 |
Mailing Address | Practice Location Address |
---|---|
Carey Martin, LCSW 557 Grants Ferry Rd, Brandon, MS 39047-9023 Ph: (601) 665-4162 | Carey Martin, LCSW 1911 Mission 66 Ste B, Vicksburg, MS 39180-3762 Ph: (601) 665-4162 |
Kayla Moriarty, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1911 Mission 66 Ste B, Vicksburg, MS 39180 Phone: 601-665-4162 Fax: 855-830-3484 | |
Anna Adcock, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1911 Mission 66 Ste B, Vicksburg, MS 39180 Phone: 601-665-4162 Fax: 855-830-3484 | |
Kathleen Chappelear, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1911 Mission 66 Ste B, Vicksburg, MS 39180 Phone: 601-665-4162 | |
Mr. Billy Foster, LCSW, NCC AP MAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 109 Alfred Dr, Vicksburg, MS 39180 Phone: 601-415-9424 | |
Mrs. Annette Bryant, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1107 Openwood St, Vicksburg, MS 39183 Phone: 601-831-4402 Fax: 601-206-0672 | |
Miss Tempie Bland, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 111 Fleetwood Dr, Vicksburg, MS 39180 Phone: 601-629-9419 |