Michele Cannon, LCSW, PPS | |
1508b Maple Grove Church Rd, Dunn, NC 28334-7688 | |
(910) 567-7162 | |
(910) 567-5022 |
Full Name | Michele Cannon |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1508b Maple Grove Church Rd, Dunn, 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 |
---|---|---|---|
1447447883 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 25541 (California) | Secondary |
1041C0700X | Social Worker - Clinical | C009133 (North Carolina) | Primary |
Entity Name | Tri County Community Health Council Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427087709 PECOS PAC ID: 2163409558 Enrollment ID: O20040702000780 |
Mailing Address | Practice Location Address |
---|---|
Michele Cannon, LCSW, PPS 1508b Maple Grove Church Rd, Dunn, NC 28334-7688 Ph: (910) 567-7162 | Michele Cannon, LCSW, PPS 1508b Maple Grove Church Rd, Dunn, NC 28334-7688 Ph: (910) 567-7162 |
Alyssa Davis Senter, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 42 Happy Trails Ln, Dunn, NC 28334 Phone: 910-391-6962 | |
Helen Yates, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3331 Easy St, Dunn, NC 28334 Phone: 910-567-5020 | |
Michael W. Martin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 104 Tilghman Dr, Dunn, NC 28334 Phone: 910-892-1333 Fax: 910-892-2929 | |
Mrs. Adriane Leigh Butler, LCSW, LCAS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3331 Easy St, Dunn, NC 28334 Phone: 910-567-6194 Fax: 910-567-4331 | |
Antionette B Jennings, LCSW-A Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3331 Easy St, Dunn, NC 28334 Phone: 910-567-7158 | |
Kayla Young, MSW, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 731 Tilghman Dr, Dunn, NC 28334 Phone: 910-249-4219 | |
Ms. Etta Serena Faison, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 210 S Clinton Ave, Dunn, NC 28334 Phone: 910-337-3520 |