Maria J Knickerbocker, LCSW | |
118 College Dr # 5163, Hattiesburg, MS 39406-0001 | |
(601) 266-5163 | |
(601) 266-5114 |
Full Name | Maria J Knickerbocker |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 118 College Dr # 5163, Hattiesburg, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689863359 | NPI | - | NPPES |
00675504 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | C6975 (Mississippi) | Primary |
Entity Name | The Rural Outreach Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891311965 PECOS PAC ID: 6002226602 Enrollment ID: O20201111000659 |
Mailing Address | Practice Location Address |
---|---|
Maria J Knickerbocker, LCSW 118 College Dr # 5163, Hattiesburg, MS 39406-0001 Ph: (601) 266-5163 | Maria J Knickerbocker, LCSW 118 College Dr # 5163, Hattiesburg, MS 39406-0001 Ph: (601) 266-5163 |
Paula G Hand, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14 Spears Dr, Hattiesburg, MS 39402 Phone: 601-264-2490 | |
Riley Herrin, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 516 W Laurel Ave, Hattiesburg, MS 39401 Phone: 601-606-0561 | |
Michelle E Howard, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 66 Old Airport Rd, Hattiesburg, MS 39401 Phone: 601-544-7500 Fax: 601-544-7524 | |
Marian Allen, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4100 Mamie St, Hattiesburg, MS 39402 Phone: 601-705-1906 | |
Mrs. Ava Marie Gunn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6737 U S Highway 98, Hattiesburg, MS 39402 Phone: 601-408-7376 | |
Billie Michelle Brazeal, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-579-3300 Fax: 601-268-5738 | |
Ms. Tara Fulton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 707 Corinne St, Hattiesburg, MS 39401 Phone: 601-408-6284 |