Latoya Denise Davis, LCSW | |
1950 Pearson St, Loganville, GA 30052-6517 | |
(912) 245-6619 | |
Not Available |
Full Name | Latoya Denise Davis |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1950 Pearson St, Loganville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629677414 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CSW008481 (Georgia) | Primary |
Entity Name | Social Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881466811 PECOS PAC ID: 2466803697 Enrollment ID: O20240111002824 |
Mailing Address | Practice Location Address |
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Latoya Denise Davis, LCSW 1950 Pearson St, Loganville, GA 30052-6517 Ph: (912) 245-6619 | Latoya Denise Davis, LCSW 1950 Pearson St, Loganville, GA 30052-6517 Ph: (912) 245-6619 |
Naomi M Simpson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 367 Athens Hwy Ste 1800, Loganville, GA 30052 Phone: 770-554-2999 Fax: 770-679-6390 | |
Mr. William Walker, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 129 Lee Byrd Rd, Loganville, GA 30052 Phone: 770-599-7508 | |
Mrs. Danielle Dorra Williams, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3915 Harrison Rd Ste 300, Loganville, GA 30052 Phone: 248-444-8132 | |
Keyondra Lashay Delaney, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 869 Sara Meadow Rd, Loganville, GA 30052 Phone: 470-774-9109 | |
Patricia Lynn Ford, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2446 Meredith Dr, Loganville, GA 30052 Phone: 404-610-7104 | |
Ashlyn Tatiana Virginia Mcallister, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 129 Lee Byrd Rd, Loganville, GA 30052 Phone: 770-599-7508 Fax: 866-734-7631 |