Mr Grant R Hasty, LCSW | |
3135 Summit Bridge Rd, Bear, DE 19701-2001 | |
(302) 464-0515 | |
(302) 454-7274 |
Full Name | Mr Grant R Hasty |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 23 Years |
Location | 3135 Summit Bridge Rd, Bear, Delaware |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053509737 | NPI | - | NPPES |
1000039721 | Medicaid | DE | |
166706 YDXJ | Other | DE | MEDICARE PTAN |
1000035733 | Medicaid | DC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | Q10000765 (Delaware) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Renewed Life Christian Counseling Center Inc | 6901066000 | 2 |
Entity Name | Renewed Life Christian Counseling Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598039794 PECOS PAC ID: 6901066000 Enrollment ID: O20120328000031 |
Mailing Address | Practice Location Address |
---|---|
Mr Grant R Hasty, LCSW 34 Dalton Dr, Newark, DE 19702-2059 Ph: (302) 275-8577 | Mr Grant R Hasty, LCSW 3135 Summit Bridge Rd, Bear, DE 19701-2001 Ph: (302) 464-0515 |
Myniqua Cotton, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 210 Canonero Dr, Bear, DE 19701 Phone: 302-367-9626 | |
Mr. Michael A Peyton, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 120 Brittany Way, Mansion Farm, Bear, DE 19701 Phone: 302-836-5311 | |
Jennelle Evans, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 667 Corsica Ave, Bear, DE 19701 Phone: 516-581-6386 | |
Mrs. Troy Farmer, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16 Catherine Ct, Bear, DE 19701 Phone: 302-367-9949 | |
Joni Newby, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 115 Grand Canyon Ct, Bear, DE 19701 Phone: 302-317-6763 | |
Kinyati Hammond, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 335 Starboard Dr, Bear, DE 19701 Phone: 302-299-3109 |