Mrs Melanie L Ponder-wright, LCSW | |
4405 Mall Blvd, Union City, GA 30291-2044 | |
(770) 892-3200 | |
Not Available |
Full Name | Mrs Melanie L Ponder-wright |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 4405 Mall Blvd, Union City, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205166501 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CSW004679 (Georgia) | Primary |
Entity Name | Serenity Community Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477889749 PECOS PAC ID: 1759538341 Enrollment ID: O20120905000101 |
Mailing Address | Practice Location Address |
---|---|
Mrs Melanie L Ponder-wright, LCSW 4405 Mall Blvd, Suite 310, Union City, GA 30291-2044 Ph: (770) 892-3200 | Mrs Melanie L Ponder-wright, LCSW 4405 Mall Blvd, Union City, GA 30291-2044 Ph: (770) 892-3200 |
Shae-dee Reigns, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3835 Cypress Pointe Dr, Union City, GA 30291 Phone: 347-770-7423 | |
Ms. Charmaine Veronica Mattocks, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7413 Gossamer St, Union City, GA 30291 Phone: 404-664-2381 | |
Beatrice Berry, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4500 Shannon Blvd Apt 6b, Union City, GA 30291 Phone: 770-774-3493 | |
Mrs. Retina Deon Dawson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5100 Alexander Ave, Union City, GA 30291 Phone: 404-428-8038 | |
Dr. Donnetta Shante Washington, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4550 Jonesboro Rd Ste A2-208, Union City, GA 30291 Phone: 205-575-9303 | |
Bertha Jackson, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6224 Shenfield Ln, Union City, GA 30291 Phone: 470-236-8813 |