Mark Darrell Driskill, LICSW | |
3940 Montclair Rd Ste 205, Mountain Brk, AL 35213-2416 | |
(205) 612-0260 | |
(205) 871-5939 |
Full Name | Mark Darrell Driskill |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 3940 Montclair Rd Ste 205, Mountain Brk, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578780219 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6472 (Tennessee) | Secondary |
1041C0700X | Social Worker - Clinical | 2187C-0923 (Alabama) | Primary |
Entity Name | Collat Jewish Family Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629280508 PECOS PAC ID: 3870554496 Enrollment ID: O20041026000642 |
Mailing Address | Practice Location Address |
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Mark Darrell Driskill, LICSW 3448 Crossings Way, Birmingham, AL 35242-4457 Ph: () - | Mark Darrell Driskill, LICSW 3940 Montclair Rd Ste 205, Mountain Brk, AL 35213-2416 Ph: (205) 612-0260 |
Kathleen Durkin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17 Office Park Cir Ste 100, Mountain Brk, AL 35223 Phone: 251-377-3276 | |
Mrs. Jeannette M Briscoe, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3 Office Park Cir, Suite 115, Mountain Brk, AL 35223 Phone: 205-912-2000 Fax: 205-945-1890 | |
Stuart Jaffe, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3940 Montclair Rd Ste 205, Mountain Brk, AL 35213 Phone: 205-879-3438 | |
Margo M. Harwell, LCSW, PIP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14 Office Park Cir, Suite 114, Mountain Brk, AL 35223 Phone: 205-296-1900 | |
Cynthia Corbin Bryant, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3940 Montclair Rd, Suite 205, Mountain Brk, AL 35213 Phone: 205-879-3438 Fax: 205-871-5939 | |
Heather Schuck, LICSW PIP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3 Office Park Cir Ste 220, Mountain Brk, AL 35223 Phone: 205-422-5001 | |
Miss Carly Kathleen Spoerl, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17 Office Park Cir Ste 100, Mountain Brk, AL 35223 Phone: 205-538-1206 |