Mr Terrell Smith, | |
116 Myrick Dr, Macon, GA 31220-6758 | |
(478) 731-2087 | |
Not Available |
Full Name | Mr Terrell Smith |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 116 Myrick Dr, Macon, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497344477 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CSW007187 (Georgia) | Primary |
Entity Name | Behavioral Learned Management Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225763162 PECOS PAC ID: 3274919329 Enrollment ID: O20220927004087 |
Mailing Address | Practice Location Address |
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Mr Terrell Smith, Po Box 13185, Macon, GA 31208-3185 Ph: (478) 731-2087 | Mr Terrell Smith, 116 Myrick Dr, Macon, GA 31220-6758 Ph: (478) 731-2087 |
Lisa Ibekwe, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1091 Overlook Pkwy, Macon, GA 31210 Phone: 470-242-6140 | |
Carol Johnson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1900 Wesleyan Dr Apt 2206, Macon, GA 31210 Phone: 205-356-5251 | |
Rita A Judy, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 175 Emery Hwy, Macon, GA 31217 Phone: 478-751-4446 | |
Eunice Malave De Leon, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 174 Spring St, Macon, GA 31210 Phone: 567-712-1111 | |
Ms. Mary Heather Merritt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2607 Vineville Ave, Macon, GA 31204 Phone: 478-227-0069 Fax: 478-818-1966 | |
Monica A. Swayne, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 640 Plum Street, Suite 205, Macon, GA 31201 Phone: 888-561-5568 Fax: 877-389-1333 | |
Daphne Stevens, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3445 Osborne Pl, Macon, GA 31204 Phone: 478-474-8379 |