Miss Shanna Amanda Jefferson, MSW,CFSW,LCSW | |
2530 Meridian Pkwy Ste 300, Durham, NC 27713-5273 | |
(919) 794-5284 | |
(866) 923-0754 |
Full Name | Miss Shanna Amanda Jefferson |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 15 Years |
Location | 2530 Meridian Pkwy Ste 300, Durham, North Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093012031 | NPI | - | NPPES |
6009279 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | C008185 (North Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | Destination Greatness Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215374228 PECOS PAC ID: 3971743048 Enrollment ID: O20130712000695 |
Mailing Address | Practice Location Address |
---|---|
Miss Shanna Amanda Jefferson, MSW,CFSW,LCSW Po Box 13273, Durham, NC 27709-3273 Ph: (919) 794-5284 | Miss Shanna Amanda Jefferson, MSW,CFSW,LCSW 2530 Meridian Pkwy Ste 300, Durham, NC 27713-5273 Ph: (919) 794-5284 |
Miss Nancy Carol Lee, LCSW-P, CMSW, MHA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 508 Fulton St, Social Work Service (122), Durham, NC 27705 Phone: 919-286-0411 Fax: 919-416-5834 | |
Ms. Esther L Swim-wright, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 115 N Duke Street, Suite 1-b, Durham, NC 27701 Phone: 919-286-3453 Fax: 919-286-7033 | |
Ms. Gwen Elizabeth Madill, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 508 Fulton St, Social Work Service, Durham, NC 27705 Phone: 919-286-0411 | |
Mr. Timothy P Donahoe, LQP, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2670 Durham-chapel Hill Blvd., Durham, NC 27707 Phone: 919-251-9001 Fax: 919-251-9008 | |
Mrs. Caroline Marie Griffin, MSW, LSCW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 508 Fulton Street, Department Of Veterans Affairs Medical Center, Durham, NC 27705 Phone: 919-286-0411 | |
Miss Madeline Hooper, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2670 Durham Chapel Hill Blvd, Durham, NC 27707 Phone: 919-251-9001 | |
Ms. Erum Agha, PHD, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2310 S Miami Blvd Ste 136, Durham, NC 27703 Phone: 919-401-8261 |