Mrs Pagrita Compagaris Fuller, MSW, LCSW | |
8335 Office Park Dr, Douglasville, GA 30134-6937 | |
(678) 324-0476 | |
Not Available |
Full Name | Mrs Pagrita Compagaris Fuller |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 8335 Office Park Dr, Douglasville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215462718 | NPI | - | NPPES |
CSW006043 | Other | GA | GA COMPOSITE BOARD OF PC, SW,, AND MFT |
MSW005939 | Other | GA | GEORGIA COMPOSITE BOARD OF PC, SW, AND MFT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CSW006034 (Georgia) | Primary |
Entity Name | Cobb County Community Services Board |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750442331 PECOS PAC ID: 7719875566 Enrollment ID: O20040304001136 |
Mailing Address | Practice Location Address |
---|---|
Mrs Pagrita Compagaris Fuller, MSW, LCSW 2669 Lantern Trl, Lithia Springs, GA 30122-2792 Ph: (936) 676-7760 | Mrs Pagrita Compagaris Fuller, MSW, LCSW 8335 Office Park Dr, Douglasville, GA 30134-6937 Ph: (678) 324-0476 |
Alexis Averett, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 912 Meadowood Ln, Douglasville, GA 30135 Phone: 678-522-0119 | |
Michelle D. Wigley, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 8820 Hospital Dr, Douglasville, GA 30134 Phone: 770-947-3000 | |
Nikita Suzanne Morency, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3492 Highway 5 Apt 101, Douglasville, GA 30135 Phone: 678-739-9348 | |
Melisa Sims, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5945 Double Birch, Douglasville, GA 30135 Phone: 770-401-2362 | |
Tammy Stoner, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6855 Creekwood Dr, Douglasville, GA 30135 Phone: 770-639-7719 | |
Mariah Corcoran, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8514 Price Ave, Douglasville, GA 30134 Phone: 610-331-1690 |