Mr Darryl Lamar Brooks Jr, LCSWA | |
230 S Jackson St Ste 219, Albany, GA 31701-2888 | |
(229) 894-1980 | |
Not Available |
Full Name | Mr Darryl Lamar Brooks Jr |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 230 S Jackson St Ste 219, Albany, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346761269 | NPI | - | NPPES |
5781587 | Other | GA | CIGNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CSW008073 (Georgia) | Primary |
Entity Name | Viaduct Health, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962177964 PECOS PAC ID: 3870983935 Enrollment ID: O20240311003116 |
Mailing Address | Practice Location Address |
---|---|
Mr Darryl Lamar Brooks Jr, LCSWA Po Box 6165, Albany, GA 31706-6165 Ph: (229) 894-1980 | Mr Darryl Lamar Brooks Jr, LCSWA 230 S Jackson St Ste 219, Albany, GA 31701-2888 Ph: (229) 894-1980 |
Mrs. Ngina Omolade Mandouma, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 229-733-2429 | |
Ms. Claire Banister, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1906 Forest Glen Dr, Albany, GA 31707 Phone: 229-435-6146 Fax: 229-435-6146 | |
Lisha Jones, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 111 Westcott Ln, Albany, GA 31721 Phone: 229-349-3728 | |
Martha Mixon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 229-312-7001 Fax: 229-312-7006 | |
Mrs. Ricketta Yarbrough Mccoy, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2908 Harvest Ln, Albany, GA 31721 Phone: 229-869-9524 | |
Mary Katherine Wanner, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2500 Dawson Rd Ste 101, Albany, GA 31707 Phone: 229-430-5100 | |
Tiara H Clayton, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12072 Putnam Blvd Apt A, Albany, GA 31705 Phone: 904-508-9436 |