Jason Lee Radosevich, LCSW | |
100 Billingsley Rd, Charlotte, NC 28211-1002 | |
(704) 376-7447 | |
Not Available |
Full Name | Jason Lee Radosevich |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 11 Years |
Location | 100 Billingsley Rd, Charlotte, North Carolina |
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 |
---|---|---|---|
1750792800 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | P008656 (North Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | C011345 (North Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Easter Seals Ucp North Carolina And Virginia Inc | 7618161407 | 12 |
Entity Name | Easter Seals Ucp North Carolina & Virginia Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306167713 PECOS PAC ID: 7618161407 Enrollment ID: O20101105000534 |
Mailing Address | Practice Location Address |
---|---|
Jason Lee Radosevich, LCSW 619 Sullivan Rd, Statesville, NC 28677-3437 Ph: (704) 871-0934 | Jason Lee Radosevich, LCSW 100 Billingsley Rd, Charlotte, NC 28211-1002 Ph: (704) 376-7447 |
Ms. Latonya Latrice Pompey, MSW, P-LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5633 Monroe Rd, Suite D, Charlotte, NC 28212 Phone: 843-356-0719 | |
Miss Meredith Canty Anderson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2512 Wingdale Dr, Charlotte, NC 28213 Phone: 843-230-6359 | |
Anastashia Natasha Brown, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3541 Randolph Rd, Ste 210, Charlotte, NC 28211 Phone: 704-381-8336 | |
Denise Doster, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10801 Johnston Rd, Suite 227, Charlotte, NC 28226 Phone: 980-299-1277 | |
Sara Charles Goguen, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2125 Southend Dr, Suite 452, Charlotte, NC 28203 Phone: 704-378-1390 Fax: 704-378-1392 | |
Mr. Andre Maurice Harvey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9711 David Taylor Dr Apt 104, Charlotte, NC 28262 Phone: 980-202-2526 | |
Melissa Elder, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3111 Springbank Ln, Suite G, Charlotte, NC 28226 Phone: 980-288-8595 |