Kathleen Deal Tatum, LCSW | |
296 Turpentine Cir, Jesup, GA 31545-2574 | |
(912) 424-6134 | |
Not Available |
Full Name | Kathleen Deal Tatum |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 296 Turpentine Cir, Jesup, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366901712 | NPI | - | NPPES |
CSW008165 | Other | GA | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CSW008165 (Georgia) | Primary |
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: O20220315000829 |
Mailing Address | Practice Location Address |
---|---|
Kathleen Deal Tatum, LCSW 296 Turpentine Cir, Jesup, GA 31545-2574 Ph: (912) 424-6134 | Kathleen Deal Tatum, LCSW 296 Turpentine Cir, Jesup, GA 31545-2574 Ph: (912) 424-6134 |
Marissa Lairsey, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 189 N Brunswick St, Jesup, GA 31546 Phone: 912-530-8889 | |
Paulette Parker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1520 W Cherry St, Jesup, GA 31545 Phone: 912-294-2900 | |
Hannah Brooke Evors, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 311 E Cherry St, Jesup, GA 31546 Phone: 912-530-8889 | |
Shauna Mattingly, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1520 W Cherry St, Jesup, GA 31545 Phone: 912-286-2423 | |
Porche Lashoade Corley, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1240 S 1st St, Jesup, GA 31545 Phone: 912-421-9794 |