Mr Samuel Wade Everette, | |
521 N Brightleaf Blvd, Johnston County Mental Health Center, Smithfield, NC 27577-4407 | |
(919) 989-5500 | |
(919) 989-5532 |
Full Name | Mr Samuel Wade Everette |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 521 N Brightleaf Blvd, Smithfield, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629242219 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | P004195 (North Carolina) | Primary |
Entity Name | Duke University Affiliated Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316975972 PECOS PAC ID: 3779489588 Enrollment ID: O20031211000642 |
Entity Name | Thriveworks Clinical - North Carolina Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003303082 PECOS PAC ID: 8527471200 Enrollment ID: O20210120000669 |
Mailing Address | Practice Location Address |
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Mr Samuel Wade Everette, Po Box 411, Johnston County Mental Health Center, Smithfield, NC 27577-0411 Ph: (919) 989-5500 | Mr Samuel Wade Everette, 521 N Brightleaf Blvd, Johnston County Mental Health Center, Smithfield, NC 27577-4407 Ph: (919) 989-5500 |
Alison Rieber, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1363 W Market St, Smithfield, NC 27577 Phone: 919-934-6066 Fax: 919-989-5532 | |
Susan Caroline Bowles, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1319 N Brightleaf Blvd Ste F, Smithfield, NC 27577 Phone: 919-934-1312 | |
Kierra Chaunice Moten, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1329 N Brightleaf Blvd # D, Smithfield, NC 27577 Phone: 919-714-7500 | |
Elizabeth Yopp, MSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 106 Ava Gardner Ave, Smithfield, NC 27577 Phone: 919-300-1559 | |
Ms. Kay Mcgovern, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 514 N Brightleaf Blvd Ste 1610, Smithfield, NC 27577 Phone: 919-938-7187 Fax: 919-938-7201 | |
Ms. Lori Michelle Caviness, MSW LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 521 N Brightleaf Blvd, Johnston County Mental Health Center, Smithfield, NC 27577 Phone: 919-989-5500 Fax: 919-989-5532 | |
Amonie Jeanine Hannan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1319 N Brightleaf Blvd Ste F, Smithfield, NC 27577 Phone: 919-934-1312 Fax: 919-934-1080 |