Charles Lavie Deville Jr, LCSW | |
2200 Fort Roots Dr, Mental Health Service (116/nlr), North Little Rock, AR 72114-1709 | |
(501) 257-3190 | |
(501) 257-3180 |
Full Name | Charles Lavie Deville Jr |
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Gender | Male |
Speciality | Clinical Social Worker |
Experience | 42 Years |
Location | 2200 Fort Roots Dr, North Little Rock, Arkansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114264298 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 1203-C (Arkansas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Riverstone Wellness Center, Pllc | 9133538275 | 8 |
Entity Name | Riverstone Wellness Center, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265897946 PECOS PAC ID: 9133538275 Enrollment ID: O20210503000338 |
Mailing Address | Practice Location Address |
---|---|
Charles Lavie Deville Jr, LCSW 2200 Fort Roots Dr, Mental Health Service (116/nlr), North Little Rock, AR 72114-1709 Ph: (501) 257-3190 | Charles Lavie Deville Jr, LCSW 2200 Fort Roots Dr, Mental Health Service (116/nlr), North Little Rock, AR 72114-1709 Ph: (501) 257-3190 |
Deborah B. Deacon, L.C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1920 Main St, Suite 231, North Little Rock, AR 72114 Phone: 501-944-0030 | |
Mr. Johnnie Ross Jr., L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2200 Fort Roots Dr, North Little Rock, AR 72114 Phone: 501-257-3123 | |
Monica Brown, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2200 Fort Roots Dr Bldg 170, North Little Rock, AR 72114 Phone: 501-257-1000 | |
Carrie Ellen Jones, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5021 Arlington Dr, North Little Rock, AR 72116 Phone: 501-837-8383 | |
Mrs. Katherine Milholland, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2200 Fort Roots Dr, North Little Rock, AR 72114 Phone: 501-257-3211 | |
Mrs. Debra Inez Calhoun, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2200 Fort Roots Dr, 122/nlr, North Little Rock, AR 72114 Phone: 501-257-3308 Fax: 501-257-3301 | |
Mr. Ralph Chris Nash, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1920 Main St, Suite 218, North Little Rock, AR 72114 Phone: 501-231-9438 |