Mrs Mandy W Gravitte, LCSW, LCAS-A | |
140 Franklin St, Mount Airy, NC 27030-4502 | |
(336) 755-2085 | |
(336) 755-2086 |
Full Name | Mrs Mandy W Gravitte |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 17 Years |
Location | 140 Franklin St, Mount Airy, North Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730415894 | NPI | - | NPPES |
6007450 | Medicaid | NC | |
2853446 | Other | NC | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | C006569 (North Carolina) | Primary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 2324-A (North Carolina) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Easter Seals Ucp North Carolina And Virginia Inc | 7618161407 | 12 |
Entity Name | Easter Seals Ucp North Carolina & Virginia Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306167713 PECOS PAC ID: 7618161407 Enrollment ID: O20101105000534 |
Mailing Address | Practice Location Address |
---|---|
Mrs Mandy W Gravitte, LCSW, LCAS-A 701 S Main St, Dobson, NC 27017-8593 Ph: (336) 356-2600 | Mrs Mandy W Gravitte, LCSW, LCAS-A 140 Franklin St, Mount Airy, NC 27030-4502 Ph: (336) 755-2085 |
Stephanie Edwards Allen, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 847 W Lake Dr, Mount Airy, NC 27030 Phone: 336-783-6919 | |
Mr. Darrell Thomas Garner, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 865 W Lake Dr, Mount Airy, NC 27030 Phone: 336-786-7199 Fax: 336-351-6331 | |
Angela Jill Borders, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 535 E Pine St, Suite 203, Mount Airy, NC 27030 Phone: 336-710-6035 | |
Deanna Lee Heath, LCSW-A Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 847 W Lake Dr, Mount Airy, NC 27030 Phone: 336-783-6919 Fax: 336-783-6923 | |
Haley Mccoin Sullivan, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 847 W Lake Dr, Mount Airy, NC 27030 Phone: 336-783-6919 Fax: 336-783-6923 | |
Mr. Shawn Christopher Perkins, LCSW-A LCAS-A Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 414 W Lebanon St, Mount Airy, NC 27030 Phone: 336-789-9492 Fax: 336-789-9587 | |
Ms. Julee K Phifer, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 849 East Pine Street, Mount Airy, Mount Airy, NC 27030 Phone: 336-789-4408 Fax: 336-786-4408 |