Jessica Anne Cooper, LCSWA | |
702 N Main St, Roxboro, NC 27573-4755 | |
(336) 599-9271 | |
(336) 599-0347 |
Full Name | Jessica Anne Cooper |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 702 N Main St, Roxboro, 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 |
---|---|---|---|
1639609415 | NPI | - | NPPES |
1639609415 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | C012319 (North Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | P011668 (North Carolina) | Primary |
Entity Name | Person Family Medical Center Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952493587 PECOS PAC ID: 9436123379 Enrollment ID: O20040825000696 |
Mailing Address | Practice Location Address |
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Jessica Anne Cooper, LCSWA 702 N Main St, Roxboro, NC 27573-4755 Ph: (336) 599-9271 | Jessica Anne Cooper, LCSWA 702 N Main St, Roxboro, NC 27573-4755 Ph: (336) 599-9271 |
Charles Bartlett Jackson Jr., Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 355 S Madison Blvd Ste C1, Roxboro, NC 27573 Phone: 336-599-8366 Fax: 336-322-6168 | |
David Kozak, MSW, LCSW-A Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 203 N Main St Ste 216, Roxboro, NC 27573 Phone: 336-322-0657 | |
Herbert Clifford Brown, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 210 N Main St, Roxboro, NC 27573 Phone: 336-330-8000 | |
Mrs. Crissy Sue Schmieder, LCSW A, LCAS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 225 S Madison Blvd Ste F, Roxboro, NC 27573 Phone: 336-322-3739 | |
Karen Landis, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 245 Semora Rd, Roxboro, NC 27573 Phone: 919-698-6255 | |
Ellen K. Mcrae, MSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 355 S Madison Blvd Ste C, Roxboro, NC 27573 Phone: 919-630-0587 | |
Signe Offenberg, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 355 C South Madison Blvd, Roxboro, NC 27573 Phone: 336-599-8366 |