Jordan M Nivens, | |
220 E. First Ave. Extension, Suite 10, Lexington, NC 27292-3318 | |
(336) 242-2450 | |
Not Available |
Full Name | Jordan M Nivens |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 220 E. First Ave. Extension, Lexington, 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 |
---|---|---|---|
1245528744 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | C008376 (North Carolina) | Primary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 2837-A (North Carolina) | Secondary |
Entity Name | One Love Periodic Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225187180 PECOS PAC ID: 8527354810 Enrollment ID: O20160913001914 |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221208000188 |
Mailing Address | Practice Location Address |
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Jordan M Nivens, 2129 Statesville Blvd, Salisbury, NC 28147-1411 Ph: (704) 633-3616 | Jordan M Nivens, 220 E. First Ave. Extension, Suite 10, Lexington, NC 27292-3318 Ph: (336) 242-2450 |
Dylan Cathryne Spake, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4344 S Nc Highway 150 Ste D, Lexington, NC 27295 Phone: 704-832-2200 | |
Mr. Kevin Burke Williams, MSW, P-LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1104 S Main St, Lexington, NC 27292 Phone: 336-242-2450 | |
Phouangboupha Sinouanthavysouk, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1303 Greensboro Street Ext, Lexington, NC 27295 Phone: 336-249-0237 | |
Ms. Carolina Alford, LCSW-A Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 313 Westside Dr, Lexington, NC 27292 Phone: 336-242-9512 | |
Caitlyn Grace Hough, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1104a S Main St, Lexington, NC 27292 Phone: 336-242-2450 Fax: 336-249-9920 | |
Ms. Kristy Dawn Alanis-cook, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 270 Estelle Dr, Lexington, NC 27295 Phone: 336-609-3737 Fax: 336-232-1368 | |
Roscoe Lee Baker, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 204 N Main St, Lexington, NC 27292 Phone: 336-242-2450 Fax: 336-249-9920 |