Jessica Lynn Faulk, | |
3021 Senna Dr, Matthews, NC 28105-6727 | |
(704) 443-0144 | |
Not Available |
Full Name | Jessica Lynn Faulk |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 3021 Senna Dr, Matthews, 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 |
---|---|---|---|
1184290165 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | P016231 (North Carolina) | Primary |
Entity Name | Walgren Counseling, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235422742 PECOS PAC ID: 9638348857 Enrollment ID: O20110804000381 |
Mailing Address | Practice Location Address |
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Jessica Lynn Faulk, 1004 Regal Manor Ln, Fort Mill, SC 29715-8892 Ph: (704) 301-4670 | Jessica Lynn Faulk, 3021 Senna Dr, Matthews, NC 28105-6727 Ph: (704) 443-0144 |
Amy Smith Medlin, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1401 Matthews Township Pkwy Ste 320, Matthews, NC 28105 Phone: 704-384-1261 Fax: 704-384-3145 | |
Miriam Griselda Espaillat, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2329 Wedgewood Dr, Matthews, NC 28104 Phone: 704-718-8657 Fax: 877-735-8447 | |
Gavin Theofield, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 855 Sam Newell Rd Ste 100, Matthews, NC 28105 Phone: 704-360-3637 | |
Kenneth Arnold Sellinger, LCSW-A Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12715 Vinings Creek Drive, Apt 816, Matthews, NC 28105 Phone: 704-496-1314 | |
Mrs. Casey Elizabeth Jones, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3021 Senna Dr Ste B, Matthews, NC 28105 Phone: 980-533-5649 | |
Jasmine Sinclair, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10801 Monroe Rd, Matthews, NC 28105 Phone: 910-964-4119 | |
Mollie Sandler, LCSWA Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1216 Mann Dr, Matthews, NC 28105 Phone: 508-521-2200 Fax: 508-584-2227 |