Joan S Waldroup, LCSW | |
1403 43rd Ave, Gulfport, MS 39501-2545 | |
(228) 234-9460 | |
Not Available |
Full Name | Joan S Waldroup |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1403 43rd Ave, Gulfport, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457365447 | NPI | - | NPPES |
01535581 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | C6319 (Mississippi) | Primary |
Entity Name | Joan S Waldroup, Lcsw, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235694191 PECOS PAC ID: 9436491800 Enrollment ID: O20190506000292 |
Mailing Address | Practice Location Address |
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Joan S Waldroup, LCSW Po Box 7475, Gulfport, MS 39506-7475 Ph: () - | Joan S Waldroup, LCSW 1403 43rd Ave, Gulfport, MS 39501-2545 Ph: (228) 234-9460 |
Dr. Shelia Rivers, DSW, LCSW, MPH Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 417 Security Sq, Gulfport, MS 39507 Phone: 707-728-5131 | |
Mrs. Mona Marie Holloway, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1520 29th Ave Ste 36, Gulfport, MS 39501 Phone: 228-591-1442 | |
Ms. Susan Elizabeth Pyles, LCSW, BCD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11070 David St, Gulfport, MS 39503 Phone: 228-990-5217 Fax: 228-594-9155 | |
Miss Juliet Liuzza, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1450 North St, Gulfport, MS 39507 Phone: 228-219-5995 | |
Mrs. Jocelyn Gavin-lane, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 10585 Three Rivers Rd, Suite C, Gulfport, MS 39503 Phone: 228-604-0099 Fax: 228-604-2001 | |
Dr. Lauren Suzanne Zakaras, LCSW, DBH Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15465 Oak Ln, Ste. D, Gulfport, MS 39503 Phone: 765-720-3730 | |
Shannon Deirdre Bradley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5502 Marvin Shields Blvd, Gulfport, MS 39501 Phone: 228-822-5710 |