Jennifer Collins, LCSW-A | |
119 West Ave, Kannapolis, NC 28081-4332 | |
(704) 630-6634 | |
Not Available |
Full Name | Jennifer Collins |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 119 West Ave, Kannapolis, 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 |
---|---|---|---|
1992175855 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | P008390 (North Carolina) | Primary |
Entity Name | Cityblock Medical Practice, P.a. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588296784 PECOS PAC ID: 0840670592 Enrollment ID: O20221228000288 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Collins, LCSW-A 135 Locomotive Ln Unit 108, Mooresville, NC 28115-8526 Ph: (704) 425-9631 | Jennifer Collins, LCSW-A 119 West Ave, Kannapolis, NC 28081-4332 Ph: (704) 630-6634 |
Latrecia Glover, LSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 119 West Ave, Kannapolis, NC 28081 Phone: 704-630-6634 | |
Mya Gardner, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 Mooresville Rd, Kannapolis, NC 28081 Phone: 704-920-1000 | |
Ilanit Diana Lazar, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1305 S Cannon Blvd, Kannapolis, NC 28083 Phone: 704-939-1100 Fax: 704-939-1173 | |
Kristy Nicole Dennis, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 201 Dale Earnhardt Blvd, Ste 201, Kannapolis, NC 28081 Phone: 704-403-7430 | |
Mikaella Rohmann, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 Mooresville Rd, Kannapolis, NC 28081 Phone: 704-920-1310 Fax: 704-934-4270 | |
Mrs. Priscilla D. Cooke, MSW, LCSW, LCAS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 119 West Ave, Kannapolis, NC 28081 Phone: 704-630-6634 Fax: 866-828-5520 | |
Beth Pfister, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1305 S Cannon Blvd, Kannapolis, NC 28083 Phone: 704-939-1100 Fax: 704-939-1173 |