Mrs Darlene Yvonne Nicks, MSW, LSW, LCSW | |
93 Somerset Dr, Willingboro, NJ 08046-1442 | |
(256) 701-4502 | |
Not Available |
Full Name | Mrs Darlene Yvonne Nicks |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 93 Somerset Dr, Willingboro, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952069551 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CW023875 (Pennsylvania) | Primary |
104100000X | Social Worker | PA137936 (Pennsylvania) | Secondary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220512002242 |
Mailing Address | Practice Location Address |
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Mrs Darlene Yvonne Nicks, MSW, LSW, LCSW 93 Somerset Dr, Willingboro, NJ 08046-1442 Ph: (256) 417-5356 | Mrs Darlene Yvonne Nicks, MSW, LSW, LCSW 93 Somerset Dr, Willingboro, NJ 08046-1442 Ph: (256) 701-4502 |
Elizabeth Blackburn-gruver, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 102 Toledo Ln, Willingboro, NJ 08046 Phone: 609-937-0920 | |
Ms. Tanya Walker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 429 John F Kennedy Way, Ste. 235, Willingboro, NJ 08046 Phone: 609-871-4442 Fax: 609-835-6569 | |
Shani Muhammad, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 32 Northgate Ln, Willingboro, NJ 08046 Phone: 856-425-0322 | |
Dr. Valerie Smith Stephens, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 123 Glenview Ln, Willingboro, NJ 08046 Phone: 609-410-0724 Fax: 000-000-0000 | |
Laquista Erinna, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 Campbell Dr Ste 105f, Willingboro, NJ 08046 Phone: 609-832-2142 | |
Dainee Arias, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 36 Gallaway Ln, Willingboro, NJ 08046 Phone: 646-703-9141 | |
Michelle Hall-boggan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7 Essex Ln, Willingboro, NJ 08046 Phone: 609-200-5933 |