Mrs Sara Sanderson Dodgens, LCAS, LCSW | |
786 Piney Woods Rd, Burgaw, NC 28425-4212 | |
(910) 604-1637 | |
Not Available |
Full Name | Mrs Sara Sanderson Dodgens |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 786 Piney Woods Rd, Burgaw, 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 |
---|---|---|---|
1962782920 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | C007498 (North Carolina) | Primary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 1415 (North Carolina) | Secondary |
Entity Name | Port Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497075618 PECOS PAC ID: 5193752681 Enrollment ID: O20050726001211 |
Mailing Address | Practice Location Address |
---|---|
Mrs Sara Sanderson Dodgens, LCAS, LCSW 786 Piney Woods Rd, Burgaw, NC 28425-4212 Ph: (910) 604-1637 | Mrs Sara Sanderson Dodgens, LCAS, LCSW 786 Piney Woods Rd, Burgaw, NC 28425-4212 Ph: (910) 604-1637 |
Liza Prochnow, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 309 Progress Dr, Burgaw, NC 28425 Phone: 102-590-6689 Fax: 910-202-9966 | |
Macy Leigh Baynor, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 309 Progress Dr, Burgaw, NC 28425 Phone: 910-343-0145 Fax: 910-202-9966 | |
Holly Mckoy, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 309 Progress Dr, Burgaw, NC 28425 Phone: 910-259-0668 Fax: 910-202-9966 | |
Ayrien Faith Norris, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 309 Progress Dr, Burgaw, NC 28425 Phone: 910-259-0668 Fax: 910-202-9966 | |
Olivia Hess, LCSW-A Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 309 Progress Dr, Burgaw, NC 28425 Phone: 910-259-0668 Fax: 910-259-4526 | |
Kathryn Elizabeth Treto, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 309 Progress Dr, Burgaw, NC 28425 Phone: 910-259-0668 | |
Madelynn Newton, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 309 Progress Dr, Burgaw, NC 28425 Phone: 910-259-0668 Fax: 910-259-4526 |