Mr Terence Carroll, MSS | |
700 Ardmore Ave Apt 524, Ardmore, PA 19003-1109 | |
(610) 649-6242 | |
Not Available |
Full Name | Mr Terence Carroll |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 700 Ardmore Ave Apt 524, Ardmore, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497994297 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CW002495L (Pennsylvania) | Primary |
Entity Name | Senior Living Behavioral Health Lcsw Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083150056 PECOS PAC ID: 9931482247 Enrollment ID: O20200601000154 |
Mailing Address | Practice Location Address |
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Mr Terence Carroll, MSS 700 Ardmore Ave Apt 524, Ardmore, PA 19003-1109 Ph: (610) 649-6242 | Mr Terence Carroll, MSS 700 Ardmore Ave Apt 524, Ardmore, PA 19003-1109 Ph: (610) 649-6242 |
Gabriella Fiore, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 133 Coulter Ave Ste 1, Ardmore, PA 19003 Phone: 215-275-8710 | |
Camille Koenig, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 27 West Athens Avenue, Ardmore, PA 19003 Phone: 267-271-0661 | |
Jamie Silvers, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 207 W County Line Rd, Ardmore, PA 19003 Phone: 267-507-5574 | |
Mrs. Samantha Hunsicker, LCSW, M.ED. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9 Cricket Terrace Ctr, Ardmore, PA 19003 Phone: 610-520-1510 | |
Lexi Schwartz, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 105 Sibley Ave, Ardmore, PA 19003 Phone: 856-562-3661 | |
Dr. Lauren Cornew, PHD, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 209 Kent Rd, Ardmore, PA 19003 Phone: 858-692-4289 | |
Tammi Van Hollander, LCSW, RPT Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 119 Coulter Ave, Suite 213, Ardmore, PA 19003 Phone: 610-642-1144 |