Larry Wayne Brown, LCSW | |
1911 Thompson Ave, East Point, GA 30344-6837 | |
(912) 713-5699 | |
Not Available |
Full Name | Larry Wayne Brown |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 1911 Thompson Ave, East Point, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386945269 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CSW003160 (Georgia) | Primary |
Entity Name | Serenity Community Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477889749 PECOS PAC ID: 1759538341 Enrollment ID: O20120905000101 |
Mailing Address | Practice Location Address |
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Larry Wayne Brown, LCSW 1911 Thompson Ave, East Point, GA 30344-6837 Ph: (912) 713-5699 | Larry Wayne Brown, LCSW 1911 Thompson Ave, East Point, GA 30344-6837 Ph: (912) 713-5699 |
Mr. Michael Alexander Brittain, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2675 N Martin St, Building 700, Suite A, East Point, GA 30344 Phone: 404-321-6111 Fax: 404-327-4028 | |
Martana Eldridge, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2694 N Martin St, East Point, GA 30344 Phone: 716-771-9961 | |
Katherine O'lone, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3088 Washington Rd, East Point, GA 30344 Phone: 470-444-3135 Fax: 404-777-9336 | |
Ms. Phyllis Jackson-smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2995 Meadow Lark Dr, East Point, GA 30344 Phone: 404-762-7859 Fax: 404-762-7859 | |
Melinda Morgan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1513 Cleveland Ave, Suite 500, East Point, GA 30344 Phone: 404-604-4284 Fax: 770-961-3059 | |
Mr. Carlo Tadeo Domingo, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1513 Cleveland Ave, Building 300, East Point, GA 30344 Phone: 404-321-6111 |