Jodi M Peavy, LISW-CP | |
3588 Crosscreek Dr, Little River, SC 29566-7594 | |
(843) 222-3019 | |
Not Available |
Full Name | Jodi M Peavy |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 3588 Crosscreek Dr, Little River, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417980624 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 007155 (South Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | 15855 (South Carolina) | Primary |
Entity Name | Sc House Calls Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518048859 PECOS PAC ID: 6800994807 Enrollment ID: O20070613000821 |
Mailing Address | Practice Location Address |
---|---|
Jodi M Peavy, LISW-CP 3588 Crosscreek Dr, Little River, SC 29566-7594 Ph: (843) 399-3807 | Jodi M Peavy, LISW-CP 3588 Crosscreek Dr, Little River, SC 29566-7594 Ph: (843) 222-3019 |
Ms. Simone L Esquibel, LISW-CP, MSW, JD Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 144 Juniata Loop, Little River, SC 25966 Phone: 843-315-5112 | |
Mrs. Sara Davis Hartlaub, MSW, LISW-CP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4303 Live Oak Dr, Little River, SC 29566 Phone: 843-663-8000 | |
Karen Tison Hills, LISW-CP Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4303 Live Oak Dr, Little River, SC 29566 Phone: 843-249-3424 | |
Travis Miner, LISW-CP Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4303 Live Oak Dr, Little River, SC 29566 Phone: 843-663-8000 Fax: 843-663-8166 | |
Mrs. Donna Rae Thompson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4303 Live Oak Dr, Little River, SC 29566 Phone: 843-663-8000 | |
Jan Jernigan Rollings, LISW-CP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4303 Live Oak Dr, Little River, SC 29566 Phone: 843-663-8000 |