Juan Rodriguez, LCSW | |
254 Church Street, Hayesville, NC 28904 | |
(828) 389-1494 | |
(828) 389-1343 |
Full Name | Juan Rodriguez |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 254 Church Street, Hayesville, 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 |
---|---|---|---|
1114257243 | NPI | - | NPPES |
1114257243 | Medicaid | NC | |
1812A | Other | NC | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | C008066 (North Carolina) | Primary |
Entity Name | Ncg Acquisition, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578091161 PECOS PAC ID: 1850657446 Enrollment ID: O20171115000959 |
Mailing Address | Practice Location Address |
---|---|
Juan Rodriguez, LCSW Po Box 444, Murphy, NC 28906-0444 Ph: (828) 837-0071 | Juan Rodriguez, LCSW 254 Church Street, Hayesville, NC 28904 Ph: (828) 389-1494 |
Kylie Rebecca Scolaro-conti, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2180 Sweetwater Bend Rd, Hayesville, NC 28904 Phone: 828-389-9643 | |
Ms. Jane Carol Zill, L.I.C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 325 Ashe Point Dr, Hayesville, NC 28904 Phone: 603-498-1844 Fax: 888-466-2674 | |
Mr. John William O'neal, LCSW, LPC, NCC Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1091 Highway 64 W Ste 1, Hayesville, NC 28904 Phone: 828-557-4215 Fax: 888-776-6789 | |
Jessica Rich, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3280 Highway 69 Ste 4e, Hayesville, NC 28904 Phone: 828-421-8199 |