Kristy Treadway Smith, LISW-CP | |
67 President St, Charleston, SC 29425-5712 | |
(828) 582-4078 | |
Not Available |
Full Name | Kristy Treadway Smith |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 67 President St, Charleston, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477966638 | NPI | - | NPPES |
1477966638 | Medicaid | NC | |
1477966638 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 16118 (South Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | C009990 (North Carolina) | Primary |
Entity Name | Mission Medical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114150190 PECOS PAC ID: 0749326106 Enrollment ID: O20100313000054 |
Mailing Address | Practice Location Address |
---|---|
Kristy Treadway Smith, LISW-CP 67 President St, Charleston, SC 29425-5712 Ph: (828) 582-4078 | Kristy Treadway Smith, LISW-CP 67 President St, Charleston, SC 29425-5712 Ph: (828) 582-4078 |
Andrea Claire D'andrea, MSW LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4 Carriage Ln, Suite 203-b, Charleston, SC 29407 Phone: 843-810-6747 | |
Renea Brown Bligen, LISW-CP/S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 109 Bee St, Charleston, SC 29401 Phone: 843-577-5011 | |
Miss Raven Neal, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 109 Bee St, Charleston, SC 29401 Phone: 843-789-7311 | |
Catherine Quast Nelson, PHD LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3129 W Montague Ave, Charleston, SC 29418 Phone: 843-577-5011 | |
Mr. Joshua Martin Hillie, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Riley Alexandra Nikolychik, LISW-CP Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 67 President St, Charleston, SC 29425 Phone: 843-792-0224 | |
Mrs. Freida Eugenia Mizzell, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 109 Bee St, Charleston, SC 29401 Phone: 843-789-7260 Fax: 843-805-5786 |