Lisa Anthonette Edmond, LCSW | |
1758 Waverley Oaks Drive, Kernersville, NC 27284-2367 | |
(133) 699-5268 | |
Not Available |
Full Name | Lisa Anthonette Edmond |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1758 Waverley Oaks Drive, Kernersville, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235644410 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | P011246 (North Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | 0904014185 (Virginia) | Primary |
Entity Name | Transformation Health Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508373812 PECOS PAC ID: 2567795628 Enrollment ID: O20190605002280 |
Mailing Address | Practice Location Address |
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Lisa Anthonette Edmond, LCSW 1758 Waverley Oaks Drive, Kernersville, NC 27284 Ph: (336) 995-2682 | Lisa Anthonette Edmond, LCSW 1758 Waverley Oaks Drive, Kernersville, NC 27284-2367 Ph: (133) 699-5268 |
Mr. Tywan J Lindsey, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1730 Kernersville Medical Pkwy Ste 101, Kernersville, NC 27284 Phone: 336-564-4950 Fax: 336-564-4959 | |
Marquita P Laughlin, MA, MSW, LCSW-A Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7745 Fording Bridge Rd, Kernersville, NC 27284 Phone: 910-308-2095 | |
Lindsey Sarvis, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2301 Lake Shore Reserve Court, Kernersville, NC 27284 Phone: 843-992-2722 | |
Stephanie L Justice, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1229 John Austin Ct, Kernersville, NC 27284 Phone: 281-619-4555 | |
Miss Gwenneth Garner, LCSW-A Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 125 Allen St, Kernersville, NC 27284 Phone: 336-283-3830 | |
Miss Natalie Denise Yates, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 129 Allen St, Kernersville, NC 27284 Phone: 336-293-7406 |