Mr Terry Lynn Tackett, MSW/LCSW/LISW | |
610 S College Rd, Wilmington, NC 28403-3202 | |
(910) 799-1071 | |
(910) 799-3313 |
Full Name | Mr Terry Lynn Tackett |
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Gender | Male |
Speciality | Clinical Social Worker |
Experience | 34 Years |
Location | 610 S College Rd, Wilmington, North Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396829164 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0904003021 (Virginia) | Secondary |
1041C0700X | Social Worker - Clinical | C008655 (North Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Carenet Inc | 6406845262 | 26 |
Entity Name | Carenet Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811167208 PECOS PAC ID: 6406845262 Enrollment ID: O20040507001031 |
Entity Name | Carenet Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043424013 PECOS PAC ID: 6406845262 Enrollment ID: O20050207000511 |
Mailing Address | Practice Location Address |
---|---|
Mr Terry Lynn Tackett, MSW/LCSW/LISW 610 S College Rd, Wilmington, NC 28403-3202 Ph: (910) 799-1071 | Mr Terry Lynn Tackett, MSW/LCSW/LISW 610 S College Rd, Wilmington, NC 28403-3202 Ph: (910) 799-1071 |
Mr. Joseph Peters, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 407 Kelly Rd, Wilmington, NC 28409 Phone: 910-409-2754 | |
Elisabeth Troy, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1606 Physicians Dr Ste 104, Wilmington, NC 28401 Phone: 910-343-6890 Fax: 910-332-1233 | |
Miss Mary Florence Wood, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 615 Shipyard Blvd, Wilmington, NC 28412 Phone: 910-617-9647 Fax: 910-202-5772 | |
Makayla Jessica Bowling Mills, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1606 Physicians Dr Ste 104, Wilmington, NC 28401 Phone: 910-343-6890 | |
Mrs. Aimee L. Schulze, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 311-4e Judges Rd, Wilmington, NC 28405 Phone: 910-791-6767 Fax: 910-791-6890 | |
Mary E Dowcett, P-LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1606 Physicians Dr Ste 104, Wilmington, NC 28401 Phone: 910-343-6890 | |
Terrance Williams, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 615 Shipyard Blvd, Wilmington, NC 28412 Phone: 910-343-0145 Fax: 910-202-9966 |