Marion Keith Hart, MSW, LCSW | |
1601 Brenner Avenue, Salisbury, NC 28144 | |
(704) 638-9000 | |
(704) 645-6011 |
Full Name | Marion Keith Hart |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 1601 Brenner Avenue, Salisbury, 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 |
---|---|---|---|
1417919697 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | C005742 (North Carolina) | Primary |
Entity Name | Lifesource Of North Carolina |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811286156 PECOS PAC ID: 7416132428 Enrollment ID: O20110505000743 |
Mailing Address | Practice Location Address |
---|---|
Marion Keith Hart, MSW, LCSW 150 Roger Dr, Salisbury, NC 28147-8875 Ph: (704) 638-9000 | Marion Keith Hart, MSW, LCSW 1601 Brenner Avenue, Salisbury, NC 28144 Ph: (704) 638-9000 |
Barbara M Fiaschetti, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1601 Brenner Ave, 122, Salisbury, NC 28144 Phone: 704-638-9000 | |
Ms. Dawn H. Detgen, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1601 Brenner Ave, Va Medical Center (122), Salisbury, NC 28144 Phone: 704-638-9000 | |
Gregory Jerome Brooks Jr., Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1601 Brenner Ave, Salisbury, NC 28144 Phone: 704-597-3500 | |
Ms. Autumn Elyse Edmiston Conti, LCSW, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1601 Brenner Ave, Salisbury, NC 28144 Phone: 704-638-9000 | |
Temekia Natasha Toney, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1601 Brenner Ave, 122, Salisbury, NC 28144 Phone: 704-638-9000 Fax: 704-638-3329 | |
Mr. Jeremy Bernard Sims, MSW, PLCSW THERAPIST Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1720 Hampshire Dr, Salisbury, NC 28146 Phone: 704-630-6634 Fax: 866-828-5500 | |
Jourdan Elana Johnson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2129 Statesville Blvd, Salisbury, NC 28147 Phone: 704-636-3616 |