Mr Michael Wesley Mack Jr, LCSW | |
6605 Abercorn St Ste 101f, Savannah, GA 31405-5896 | |
(912) 412-2532 | |
Not Available |
Full Name | Mr Michael Wesley Mack Jr |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 6605 Abercorn St Ste 101f, Savannah, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710239876 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CSW004637 (Georgia) | Primary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220315000829 |
Mailing Address | Practice Location Address |
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Mr Michael Wesley Mack Jr, LCSW 6605 Abercorn St Ste 101f, Savannah, GA 31405-5896 Ph: (912) 412-2532 | Mr Michael Wesley Mack Jr, LCSW 6605 Abercorn St Ste 101f, Savannah, GA 31405-5896 Ph: (912) 412-2532 |
Evalee Paige Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 110 W 76th St, Savannah, GA 31405 Phone: 912-655-5002 | |
Carlos Devone Graham, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 321 Commercial Dr, Savannah, GA 31406 Phone: 912-961-5800 | |
Mrs. Leslie Denise Hudson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 106 E Broad St, Savannah, GA 31401 Phone: 912-527-1088 | |
Ms. Lillian Alu Gonzalez, L.C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 46 Putters Pl, Savannah, GA 31419 Phone: 646-522-4957 | |
Dr. Linda G Morgan, MSW, M.ED., PH.D. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2711 Mechanics Ave, Savannah, GA 31404 Phone: 585-576-3954 | |
Christie M Lastinger, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 515 E 63rd St, Savannah, GA 31405 Phone: 912-344-9403 Fax: 912-354-3036 | |
Brittany Battista, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 Commercial Ct Ste F, Savannah, GA 31406 Phone: 912-503-5744 Fax: 912-335-6559 |