Chatonia Smalls, | |
737 S Main St, Society Hill, SC 29593-8972 | |
(843) 378-4501 | |
Not Available |
Full Name | Chatonia Smalls |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 737 S Main St, Society Hill, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972131225 | NPI | - | NPPES |
SW1705 | Medicaid | SC | |
Q68265 | Other | SC | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 10380-CP (South Carolina) | Primary |
Entity Name | Caresouth Carolina Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720082571 PECOS PAC ID: 1052221314 Enrollment ID: O20040511000280 |
Mailing Address | Practice Location Address |
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Chatonia Smalls, Po Box 1090, Hartsville, SC 29551-1090 Ph: (843) 857-0111 | Chatonia Smalls, 737 S Main St, Society Hill, SC 29593-8972 Ph: (843) 378-4501 |
Elizabeth Kershner, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 737 S Main St, Society Hill, SC 29593 Phone: 843-378-4501 | |
Rose Laney, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 737 S Main St, Society Hill, SC 29593 Phone: 843-378-4501 | |
Kandice Van Beerschoten, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 737 S Main St, Society Hill, SC 29593 Phone: 843-378-4501 |