Mrs Latrish Goddard, LCSW, LCASA | |
115 E Main St Ste 17, Williamston, NC 27892-2482 | |
(252) 493-1860 | |
Not Available |
Full Name | Mrs Latrish Goddard |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 115 E Main St Ste 17, Williamston, 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 |
---|---|---|---|
1366790024 | NPI | - | NPPES |
1366790024 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | P006729 (North Carolina) | Primary |
Entity Name | Transformative Home Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295451797 PECOS PAC ID: 0345612230 Enrollment ID: O20230201002487 |
Mailing Address | Practice Location Address |
---|---|
Mrs Latrish Goddard, LCSW, LCASA Po Box 130, Jamesville, NC 27846-0130 Ph: () - | Mrs Latrish Goddard, LCSW, LCASA 115 E Main St Ste 17, Williamston, NC 27892-2482 Ph: (252) 493-1860 |
Eric C Hedberg, LCSW, LCAS-A Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 210 W Liberty St, Williamston, NC 27892 Phone: 252-792-5151 | |
Kimberly Clark, LCSWA Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 210 W Liberty St, Williamston, NC 27892 Phone: 252-793-3023 | |
Ms. Rita C. Boyette, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 110 Baltimore St, Williamston, NC 27892 Phone: 252-944-6076 Fax: 252-923-0111 | |
Mrs. Christie Manning Herring, MSW, PLCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 210 West Liberty Street, Williamston, NC 27892 Phone: 252-792-5151 | |
Ms. Tracy Lynette James, LCSW-A Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 607 Washington St, Williamston, NC 27892 Phone: 252-792-8035 Fax: 252-792-8045 | |
Mr. Van David Ray, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 115 E Main St, 1st Floor Office 1, Williamston, NC 27892 Phone: 252-792-1626 Fax: 252-792-1658 |