Mrs Pennie Smith Heath, LCSW | |
1840 Autumn Ave, Memphis, TN 38112-5310 | |
(901) 725-2724 | |
(901) 725-2724 |
Full Name | Mrs Pennie Smith Heath |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1840 Autumn Ave, Memphis, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033392410 | NPI | - | NPPES |
4173199 | Other | TN | BCBS OF TENNESSEE |
P00456850 | Other | RAILROAD MEDICARE | |
3920071 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0000003639 (Tennessee) | Primary |
Entity Name | Pennie S Heath, Lcsw, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568948792 PECOS PAC ID: 8921352428 Enrollment ID: O20181120001846 |
Mailing Address | Practice Location Address |
---|---|
Mrs Pennie Smith Heath, LCSW 1840 Autumn Ave, Memphis, TN 38112-5310 Ph: (901) 725-2724 | Mrs Pennie Smith Heath, LCSW 1840 Autumn Ave, Memphis, TN 38112-5310 Ph: (901) 725-2724 |
Mrs. Kenyetta D. Mcintosh-jones, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1030 Jefferson Ave, Memphis, TN 38104 Phone: 901-523-8990 | |
Mrs. Martine Patrice Johnson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1030 Jefferson Avenue, Memphis, TN 38104 Phone: 901-523-8990 | |
Ms. Edwina Hackett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6005 Park Ave, Suite 630b, Memphis, TN 38119 Phone: 901-767-1136 Fax: 901-767-0476 | |
Ms. Annie Daniel Warren, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1331 Union Ave, Suite 930, Memphis, TN 38104 Phone: 901-550-8239 | |
Mary Hamm, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6005 Park Ave, Memphis, TN 38119 Phone: 901-767-1136 Fax: 901-767-0476 | |
Raphael Woodall, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4646 Poplar Ave Ste 302, Memphis, TN 38117 Phone: 901-930-7397 |