Marissa Lairsey, | |
189 N Brunswick St, Jesup, GA 31546-4377 | |
(912) 530-8889 | |
Not Available |
Full Name | Marissa Lairsey |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 189 N Brunswick St, Jesup, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194570747 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (Georgia) | Primary |
Entity Name | Anchored In Wellness, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174996847 PECOS PAC ID: 5890078810 Enrollment ID: O20170216001208 |
Mailing Address | Practice Location Address |
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Marissa Lairsey, 126 Hill St, Hoboken, GA 31542-3338 Ph: (912) 614-6559 | Marissa Lairsey, 189 N Brunswick St, Jesup, GA 31546-4377 Ph: (912) 530-8889 |
Paulette Parker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1520 W Cherry St, Jesup, GA 31545 Phone: 912-294-2900 | |
Kathleen Deal Tatum, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 296 Turpentine Cir, Jesup, GA 31545 Phone: 912-424-6134 | |
Hannah Brooke Evors, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 311 E Cherry St, Jesup, GA 31546 Phone: 912-530-8889 | |
Shauna Mattingly, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1520 W Cherry St, Jesup, GA 31545 Phone: 912-286-2423 | |
Porche Lashoade Corley, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1240 S 1st St, Jesup, GA 31545 Phone: 912-421-9794 |