Carolyn Cordasco, | |
725 Broad St, Durham, NC 27705-4833 | |
(919) 433-1491 | |
Not Available |
Full Name | Carolyn Cordasco |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 725 Broad St, Durham, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760415350 | NPI | - | NPPES |
6003368 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | C001855 (North Carolina) | Primary |
Entity Name | Fernandez Community Center, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033465075 PECOS PAC ID: 8123322609 Enrollment ID: O20160203001014 |
Mailing Address | Practice Location Address |
---|---|
Carolyn Cordasco, 300 Compton Rd, Raleigh, NC 27609-5919 Ph: (919) 683-1800 | Carolyn Cordasco, 725 Broad St, Durham, NC 27705-4833 Ph: (919) 433-1491 |
Miss Nancy Carol Lee, LCSW-P, CMSW, MHA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 508 Fulton St, Social Work Service (122), Durham, NC 27705 Phone: 919-286-0411 Fax: 919-416-5834 | |
Ms. Esther L Swim-wright, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 115 N Duke Street, Suite 1-b, Durham, NC 27701 Phone: 919-286-3453 Fax: 919-286-7033 | |
Ms. Gwen Elizabeth Madill, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 508 Fulton St, Social Work Service, Durham, NC 27705 Phone: 919-286-0411 | |
Mr. Timothy P Donahoe, LQP, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2670 Durham-chapel Hill Blvd., Durham, NC 27707 Phone: 919-251-9001 Fax: 919-251-9008 | |
Mrs. Caroline Marie Griffin, MSW, LSCW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 508 Fulton Street, Department Of Veterans Affairs Medical Center, Durham, NC 27705 Phone: 919-286-0411 | |
Miss Madeline Hooper, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2670 Durham Chapel Hill Blvd, Durham, NC 27707 Phone: 919-251-9001 | |
Ms. Erum Agha, PHD, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2310 S Miami Blvd Ste 136, Durham, NC 27703 Phone: 919-401-8261 |