Montinique Mccallum, LCSW | |
200 Crescent Center Pkwy Ste 150, Tucker, GA 30084-7047 | |
(404) 365-0966 | |
Not Available |
Full Name | Montinique Mccallum |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 200 Crescent Center Pkwy Ste 150, Tucker, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255718243 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CSW005691 (Georgia) | Primary |
Entity Name | The Southeast Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
Mailing Address | Practice Location Address |
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Montinique Mccallum, LCSW 3495 Piedmont Rd Ne, Bldg 9 1st Floor, Atlanta, GA 30305-1736 Ph: (404) 365-0966 | Montinique Mccallum, LCSW 200 Crescent Center Pkwy Ste 150, Tucker, GA 30084-7047 Ph: (404) 365-0966 |
Ms. Louisa Carns Ellis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1550 Camelot Cir, Tucker, GA 30084 Phone: 508-725-0125 Fax: 508-725-0125 | |
Lori C. Levey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 Crescent Centre Parkway, Kaiser Permanente Crescent Centre Medical Center, Tucker, GA 30084 Phone: 770-496-3610 Fax: 404-292-3848 | |
Karissa Na'shea Prater, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2159 Dillard Xing, Tucker, GA 30084 Phone: 706-975-2876 | |
Nancy Foster Penn, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3912 Cedar Cir, Tucker, GA 30084 Phone: 770-414-9742 | |
Regina A Zabel, LCSW, ACSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1479 Brockett Rd, Suite 101, Tucker, GA 30084 Phone: 678-754-3018 Fax: 404-508-8944 | |
Delice S Echols, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3912 Cedar Cir, Tucker, GA 30084 Phone: 770-414-9742 Fax: 770-414-8296 | |
Chelsey Nicole Davidson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4500 Hugh Howell Rd Ste 410, Tucker, GA 30084 Phone: 404-237-6059 |