Keba Bosley, | |
5912 Brightstar Valley Road, Mint Hill, NC 28227 | |
(203) 530-0245 | |
(704) 910-3057 |
Full Name | Keba Bosley |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 34 Years |
Location | 5912 Brightstar Valley Road, Mint Hill, North Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649726589 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | P010349 (North Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
S.t.e.p's Developmental Academy, Inc. | 0345401816 | 2 |
Entity Name | S.t.e.p's Developmental Academy, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437284494 PECOS PAC ID: 0345401816 Enrollment ID: O20120410000025 |
Mailing Address | Practice Location Address |
---|---|
Keba Bosley, 5912 Brightstar Valley Rd, Mint Hill, NC 28227-7691 Ph: (203) 530-0245 | Keba Bosley, 5912 Brightstar Valley Road, Mint Hill, NC 28227 Ph: (203) 530-0245 |
Whitni Wertz, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7427 Matthews Mint Hill Rd # 105-338, Mint Hill, NC 28227 Phone: 704-345-5329 | |
Laria Andrews, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7612 Brookwood Valley Ln, Mint Hill, NC 28227 Phone: 980-279-7836 | |
Alyson Winter, LCSW-A Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11205 Lawyers Rd, Suite F, Mint Hill, NC 28227 Phone: 980-226-5590 | |
Tabatha Howard, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6914 Old Oak Ln, Mint Hill, NC 28227 Phone: 704-545-2261 | |
Gloria Mercedes Permison, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7427 Matthews Mint Hill Rd Ste 105-314, Mint Hill, NC 28227 Phone: 980-372-4150 | |
Mr. Fredrick Christopher Daniels, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9700 Stoney Glen Dr, Apt. N, Mint Hill, NC 28227 Phone: 704-545-4013 | |
Joseph Minaya, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5642 Turkey Oak Dr, Mint Hill, NC 28227 Phone: 917-204-4218 |