Christine L Polk, LCSW | |
238 Summar Dr, Jackson, TN 38301-3906 | |
(731) 541-8200 | |
(731) 541-8242 |
Full Name | Christine L Polk |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 238 Summar Dr, Jackson, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235458779 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 5742 (Tennessee) | Primary |
Entity Name | Starting Place Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780922393 PECOS PAC ID: 4880848134 Enrollment ID: O20130214000115 |
Mailing Address | Practice Location Address |
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Christine L Polk, LCSW 1804 Highway 45 Byp, Suite 604, Jackson, TN 38305-4436 Ph: (731) 512-1571 | Christine L Polk, LCSW 238 Summar Dr, Jackson, TN 38301-3906 Ph: (731) 541-8200 |
Glen Gaugh, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 24 Weatherford Sq, Jackson, TN 38305 Phone: 731-660-6730 | |
Sarah M Venable, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 112 N Liberty St, Jackson, TN 38301 Phone: 731-736-4400 | |
Glen Tilghman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 374 N Parkway Ste B4, Jackson, TN 38305 Phone: 731-300-5131 | |
Kathelene Marie White, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 109 E Lafayette St, Jackson, TN 38301 Phone: 901-930-7397 | |
Francine Owens, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 238 Summar Dr, Jackson, TN 38301 Phone: 731-935-8200 Fax: 731-935-8327 | |
James A Jones Iii, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 238 Summar Dr, Jackson, TN 38301 Phone: 731-935-8200 Fax: 731-935-8327 | |
Mrs. Alymarie Taylor Laird, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 33 Murray Guard Dr, Jackson, TN 38305 Phone: 731-300-2627 |