Martrell Denise Kelly John, LISW-CP | |
250 Commonwealth Dr, Greenville, SC 29615-4846 | |
(240) 463-7794 | |
Not Available |
Full Name | Martrell Denise Kelly John |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 250 Commonwealth Dr, Greenville, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003467267 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 10326 (South Carolina) | Primary |
1041C0700X | Social Worker - Clinical | 14582 (Maryland) | Secondary |
Entity Name | Regenesis Organization Community Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194710426 PECOS PAC ID: 8022928001 Enrollment ID: O20050127000120 |
Entity Name | Regenesis Organization Community Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548528714 PECOS PAC ID: 8022928001 Enrollment ID: O20160816002916 |
Entity Name | Regenesis Organization Community Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457745952 PECOS PAC ID: 8022928001 Enrollment ID: O20170127000968 |
Entity Name | Innovation Counseling Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457993123 PECOS PAC ID: 9830515535 Enrollment ID: O20200812001224 |
Entity Name | Regenesis Organization Community Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982248852 PECOS PAC ID: 8022928001 Enrollment ID: O20210120001241 |
Mailing Address | Practice Location Address |
---|---|
Martrell Denise Kelly John, LISW-CP 139 Harmony Dr, Spartanburg, SC 29301-5729 Ph: (240) 463-7794 | Martrell Denise Kelly John, LISW-CP 250 Commonwealth Dr, Greenville, SC 29615-4846 Ph: (240) 463-7794 |
Suntia Smith, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 33 Market Point Dr, Greenville, SC 29607 Phone: 864-444-3057 Fax: 864-751-9331 | |
Catherine Hicks Roberts, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 10 Patewood Dr Ste 130, Greenville, SC 29615 Phone: 864-455-8988 Fax: 864-522-5555 | |
Jennifer Marie Sevick, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 355 Woodruff Rd, Suite 405, Greenville, SC 29607 Phone: 864-286-1500 Fax: 864-234-8255 | |
Myra Brunson-samuel, MSW, LISW-CP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3620 Pelham Rd Ste 252, Greenville, SC 29615 Phone: 864-381-7818 | |
Mrs. Laura Marcela Alonso-price, MSN, LISW-CP, PMHNP Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1 Saint Francis Dr, Greenville, SC 29601 Phone: 864-380-0555 Fax: 864-566-6552 | |
Mrs. Sharon L. Spivey, LISW-CP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3150 S Highway 14, Greenville, SC 29615 Phone: 864-627-8754 Fax: 864-627-8754 |