Mr Terance Miles Dawkins, LISW-CP | |
512 Dragonfly Ct, Roebuck, SC 29376-2779 | |
(864) 621-9148 | |
Not Available |
Full Name | Mr Terance Miles Dawkins |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 512 Dragonfly Ct, Roebuck, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760091664 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 12148 (South Carolina) | Primary |
Entity Name | Medasic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922630912 PECOS PAC ID: 3971934399 Enrollment ID: O20200518003133 |
Entity Name | Transformative Healthcare Solutions Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477114031 PECOS PAC ID: 8921337973 Enrollment ID: O20210604000714 |
Mailing Address | Practice Location Address |
---|---|
Mr Terance Miles Dawkins, LISW-CP 512 Dragonfly Ct, Roebuck, SC 29376-2779 Ph: (864) 621-9148 | Mr Terance Miles Dawkins, LISW-CP 512 Dragonfly Ct, Roebuck, SC 29376-2779 Ph: (864) 621-9148 |
Ms. Katharine D Brophy, LISW-CP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 170 Freedom Trl, Roebuck, SC 29376 Phone: 864-576-3744 | |
Mrs. Tracey S. Brannon, LISW-CP Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 129 Nursery Dr, Roebuck, SC 29376 Phone: 864-621-0955 |