Mrs Olympic Nicole Jones, | |
600 Lynndale Ct Ste D, Greenville, NC 27858-5443 | |
(252) 689-6024 | |
(252) 689-6026 |
Full Name | Mrs Olympic Nicole Jones |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 600 Lynndale Ct Ste D, Greenville, 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 |
---|---|---|---|
1518267723 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | P014927 (North Carolina) | Primary |
Entity Name | Lifesource Of North Carolina |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811286156 PECOS PAC ID: 7416132428 Enrollment ID: O20110505000743 |
Mailing Address | Practice Location Address |
---|---|
Mrs Olympic Nicole Jones, 600 Lynndale Ct Ste D, Greenville, NC 27858-5443 Ph: (252) 689-6024 | Mrs Olympic Nicole Jones, 600 Lynndale Ct Ste D, Greenville, NC 27858-5443 Ph: (252) 689-6024 |
Mr. Sean Pumphrey, MSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1204 E Fire Tower Rd, Greenville, NC 27858 Phone: 252-744-1122 Fax: 252-744-1133 | |
Mrs. Misty West Marshburn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 124 W Victoria Ct Apt B, Greenville, NC 27834 Phone: 252-327-0988 | |
Kayla Danielle Williams, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3106 S Memorial Dr Ste B, Greenville, NC 27834 Phone: 252-916-6048 | |
Sarah Davis Franklin, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 401 Moye Blvd, Greenville, NC 27834 Phone: 252-830-2149 | |
Elizabeth Keais Liles, MSW, LCAS-A Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1704 E Arlington Blvd Ste B, Greenville, NC 27858 Phone: 252-756-4899 | |
Mrs. Kathy Schutz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 702 Cromwell Dr, Suite G, Greenville, NC 27858 Phone: 252-714-1755 | |
Laura Eileen Romero, Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 2150 Herbert Ct, Greenville, NC 27834 Phone: 252-744-2511 Fax: 252-744-3829 |