Michael Cockrum, LCSW | |
134 Cecil D Quillen Dr, Duffield, VA 24244-9726 | |
(276) 431-1638 | |
(276) 431-1639 |
Full Name | Michael Cockrum |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 134 Cecil D Quillen Dr, Duffield, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447470067 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0904005787 (Tennessee) | Primary |
1041C0700X | Social Worker - Clinical | 0000003211 (Tennessee) | Primary |
Entity Name | Southwest Regional Counseling Service Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063078855 PECOS PAC ID: 9133525967 Enrollment ID: O20210902001563 |
Entity Name | Doctors Office Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063047819 PECOS PAC ID: 0648676148 Enrollment ID: O20210909000046 |
Mailing Address | Practice Location Address |
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Michael Cockrum, LCSW 108 Tanglewood Trl # 2, Afton, TN 37616-4532 Ph: (423) 783-8900 | Michael Cockrum, LCSW 134 Cecil D Quillen Dr, Duffield, VA 24244-9726 Ph: (276) 431-1638 |
Gail R Feagins, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 373 Cecil D Quillen Dr, Ste 101, Duffield, VA 24244 Phone: 276-431-1638 Fax: 276-431-1639 | |
Rebecca Holmes, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2196 Bishoptown Rd, Duffield, VA 24244 Phone: 803-727-4042 | |
Mr. Hugh Lynn Mccarty, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 157 Ross Carter Blvd, Duffield, VA 24244 Phone: 276-698-5473 |