Julius Lashame Jessup Peterson, LCSW | |
209a Swanton Way Ste 202, Decatur, GA 30030-3271 | |
(404) 626-2976 | |
Not Available |
Full Name | Julius Lashame Jessup Peterson |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 209a Swanton Way Ste 202, Decatur, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932330149 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CSW005018 (Georgia) | Primary |
Entity Name | Roots Seeds And Branches |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508353210 PECOS PAC ID: 7416330899 Enrollment ID: O20220817003056 |
Mailing Address | Practice Location Address |
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Julius Lashame Jessup Peterson, LCSW 209a Swanton Way Ste 202, Decatur, GA 30030-3271 Ph: (404) 626-2976 | Julius Lashame Jessup Peterson, LCSW 209a Swanton Way Ste 202, Decatur, GA 30030-3271 Ph: (404) 626-2976 |
Mr. Clifton Hatcherson Jr., LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 445 Winn Way, 5247 Running Doe Drive, Decatur, GA 30030 Phone: 404-289-8445 Fax: 404-298-8288 | |
Mrs. Julia Narciss Reed, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 120 E Trinity Pl, Decatur, GA 30030 Phone: 404-378-2300 Fax: 404-378-2394 | |
Lionel J Smith, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 445 Winn Way, Decatur, GA 30030 Phone: 404-294-3745 | |
Natasha Vayner, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 120 E Trinity Pl, Decatur, GA 30030 Phone: 404-210-0569 | |
Pearla Duncan Wall, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2784 N Decatur Rd, Ste 145, Decatur, GA 30033 Phone: 404-292-2664 Fax: 404-292-2835 | |
Mrs. Susan Mccarthy Strickland, PHD, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 S Columbia Dr, Decatur, GA 30030 Phone: 770-601-4086 | |
Quintele Stanback-garcia, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd, Social Worker Purple Clinic, Decatur, GA 30033 Phone: 404-321-6111 |