| Jason Bennett Lake, LCSW | |
|
1100 Logger Ct, G-103, Raleigh, NC 27609-8525 | |
| (919) 538-5511 | |
| Not Available |
| Full Name | Jason Bennett Lake |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 1100 Logger Ct, Raleigh, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922304948 | NPI | - | NPPES |
| C006990 | Other | NC | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C006990 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Bennett Lake, LCSW 1100 Logger Ct Ste G103, Raleigh, NC 27609-8512 Ph: (919) 538-5511 | Jason Bennett Lake, LCSW 1100 Logger Ct, G-103, Raleigh, NC 27609-8525 Ph: (919) 538-5511 |
Ms. Tonya R Gable, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-4163 Fax: 919-350-8509 | |
Ms. Holly H Head, P-LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-7445 Fax: 919-350-8509 | |
Carol D Kassey, MSW. LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5850 Faringdon Pl, Raleigh, NC 27609 Phone: 919-872-9974 Fax: 919-872-9975 | |
Miss Kimberly G. Kueny, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1001 Navaho Dr, Suite 210, Raleigh, NC 27609 Phone: 919-872-1178 Fax: 919-872-1170 | |
Casey Paganucci, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8105 Fayetteville Rd, Suite 121-2038, Raleigh, NC 27603 Phone: 919-364-5386 | |
Amy Lynn Bryan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4000 Wake Forest Rd, Suite 200, Raleigh, NC 27609 Phone: 919-865-8710 | |
Miss Darnesha Coleman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3125 Poplarwood Ct Ste 300, Raleigh, NC 27604 Phone: 919-790-8580 |