Donesha Brothers, LCSW | |
905 Halstead Blvd Ste 18, Elizabeth City, NC 27909-6816 | |
(252) 618-6143 | |
(252) 616-4847 |
Full Name | Donesha Brothers |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 905 Halstead Blvd Ste 18, Elizabeth City, 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 |
---|---|---|---|
1376037655 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0904012643 (Virginia) | Secondary |
1041C0700X | Social Worker - Clinical | C012852 (North Carolina) | Primary |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210331001144 |
Mailing Address | Practice Location Address |
---|---|
Donesha Brothers, LCSW 216 Claremont Ct, Elizabeth City, NC 27909-9024 Ph: (252) 331-9596 | Donesha Brothers, LCSW 905 Halstead Blvd Ste 18, Elizabeth City, NC 27909-6816 Ph: (252) 618-6143 |
Mitzi Bunch Jordan, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1141 N Road St Ste L, Elizabeth City, NC 27909 Phone: 252-335-0803 Fax: 252-413-0932 | |
Amber Finck, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1825 W City Dr Ste D, Elizabeth City, NC 27909 Phone: 252-621-1404 | |
Zionna Briell Wood, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 711 Roanoke Ave, Elizabeth City, NC 27909 Phone: 252-338-4400 | |
Lashonda Renee Dance, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1141 N Road St, Suite L, Elizabeth City, NC 27909 Phone: 252-335-0803 Fax: 252-331-1796 | |
Kinisha Greene, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2012 N Road St, Elizabeth City, NC 27909 Phone: 757-344-0127 | |
Ms. Jean Dianne Scott, LCSW, RN Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1129 Horseshoe Road, Albemarle Counseling Group, Elizabeth City, NC 27909 Phone: 252-335-2018 Fax: 252-335-9521 | |
Mr. Christopher Noel Edwards, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1141 N Road St, Ste L, Elizabeth City, NC 27909 Phone: 252-335-0803 Fax: 252-331-1796 |