Mrs Diane Spell, LCSW | |
5509 Creedmoor Rd, Raleigh, NC 27612-6312 | |
(919) 573-6520 | |
(919) 573-6555 |
Full Name | Mrs Diane Spell |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 5509 Creedmoor Rd, Raleigh, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427347574 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | C008879 (North Carolina) | Primary |
Entity Name | Fellowship Health Resources Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245239680 PECOS PAC ID: 8224022546 Enrollment ID: O20120411000349 |
Mailing Address | Practice Location Address |
---|---|
Mrs Diane Spell, LCSW 5509 Creedmoor Rd, Raleigh, NC 27612-6312 Ph: (919) 573-6520 | Mrs Diane Spell, LCSW 5509 Creedmoor Rd, Raleigh, NC 27612-6312 Ph: (919) 573-6520 |
Ms. Tonya R Gable, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-4163 Fax: 919-350-8509 | |
Ms. Holly H Head, P-LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-7445 Fax: 919-350-8509 | |
Carol D Kassey, MSW. LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5850 Faringdon Pl, Raleigh, NC 27609 Phone: 919-872-9974 Fax: 919-872-9975 | |
Miss Kimberly G. Kueny, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1001 Navaho Dr, Suite 210, Raleigh, NC 27609 Phone: 919-872-1178 Fax: 919-872-1170 | |
Casey Paganucci, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8105 Fayetteville Rd, Suite 121-2038, Raleigh, NC 27603 Phone: 919-364-5386 | |
Amy Lynn Bryan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4000 Wake Forest Rd, Suite 200, Raleigh, NC 27609 Phone: 919-865-8710 | |
Miss Darnesha Coleman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3125 Poplarwood Ct Ste 300, Raleigh, NC 27604 Phone: 919-790-8580 |