Jazmon Womack, | |
4229 Yanceyville Rd Apt R, Browns Summit, NC 27214-8003 | |
(336) 280-9796 | |
Not Available |
Full Name | Jazmon Womack |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 4229 Yanceyville Rd Apt R, Browns Summit, 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 |
---|---|---|---|
1063933539 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | C012855 (North Carolina) | Primary |
1041C0700X | Social Worker - Clinical | P011699 (North Carolina) | Secondary |
Entity Name | Opportunities Industrialization Center, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396103305 PECOS PAC ID: 3173563590 Enrollment ID: O20161104000262 |
Entity Name | Little-gerald Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093114670 PECOS PAC ID: 0143566778 Enrollment ID: O20190117003494 |
Mailing Address | Practice Location Address |
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Jazmon Womack, 2716 Troxler Rd, Burlington, NC 27215-9187 Ph: (336) 570-0104 | Jazmon Womack, 4229 Yanceyville Rd Apt R, Browns Summit, NC 27214-8003 Ph: (336) 280-9796 |
Ms. Ariane Michelle Omari, MSW, LCSW-A Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4219 Yanceyville Rd Apt Y, Browns Summit, NC 27214 Phone: 336-942-3969 | |
Mrs. Naima Tryman, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5709 Hiddenlake Dr, Browns Summit, NC 27214 Phone: 973-296-8231 | |
Jenna Marie Amundson Moss, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8315 Dorwood Dr, Browns Summit, NC 27214 Phone: 919-508-7026 |