Joanna Taylor, LCSW | |
601 Virginia Ave N Ste 1, Tifton, GA 31794-4268 | |
(229) 396-5507 | |
(229) 396-5093 |
Full Name | Joanna Taylor |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 601 Virginia Ave N Ste 1, Tifton, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245840511 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CSW007908 (Georgia) | Primary |
Entity Name | Tranquil Waves Therapy, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033884747 PECOS PAC ID: 1153790449 Enrollment ID: O20221208000860 |
Mailing Address | Practice Location Address |
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Joanna Taylor, LCSW 16245 Valdosta Hwy, Valdosta, GA 31602-6066 Ph: (229) 740-5339 | Joanna Taylor, LCSW 601 Virginia Ave N Ste 1, Tifton, GA 31794-4268 Ph: (229) 396-5507 |
Amanda L Cofield, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 334 Tifton Eldorado Rd, Tifton, GA 31794 Phone: 229-391-2300 | |
Beth Hendley, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2225 Us Highway 41 N, Tifton, GA 31794 Phone: 229-391-4100 Fax: 229-391-4507 | |
Ms. Susan Riddle Gordon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2402 Tift Ave N, Suite 102, Tifton, GA 31794 Phone: 229-392-6600 Fax: 229-382-2181 | |
Joshua Alexander White Iii, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 340 Tifton Eldorado Rd, Tifton, GA 31794 Phone: 229-391-2309 | |
Lee Michelle Brooks, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 907 18th St E, Suite 150, Tifton, GA 31794 Phone: 229-353-3422 | |
Mrs. Michele L Walker, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2402 North Tift Ave., Ste. 102 South Georgia Psychiatric And Counseling Cente, Tifton, GA 31794 Phone: 229-387-8878 Fax: 229-387-8881 |