Mrs Susan Carole Gentry, LISW-CP, CSC | |
23 Surrey Ct, Columbia, SC 29212-3139 | |
(803) 551-2900 | |
Not Available |
Full Name | Mrs Susan Carole Gentry |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 26 Years |
Location | 23 Surrey Ct, Columbia, South Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891752846 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6196 (South Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Capital Brain Center, Pa | 1850491523 | 2 |
Entity Name | Capital Brain Center, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629106430 PECOS PAC ID: 1850491523 Enrollment ID: O20070710000789 |
Mailing Address | Practice Location Address |
---|---|
Mrs Susan Carole Gentry, LISW-CP, CSC 23 Surrey Ct, Columbia, SC 29212-3139 Ph: (803) 551-2900 | Mrs Susan Carole Gentry, LISW-CP, CSC 23 Surrey Ct, Columbia, SC 29212-3139 Ph: (803) 551-2900 |
Martrisha Rodriguez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 113 Executive Pointe Blvd Ste 104, Columbia, SC 29210 Phone: 855-284-7483 | |
Mr. Addison Ronald Richardson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5000 Broad River Rd, Columbia, SC 29212 Phone: 803-896-9421 Fax: 803-896-9588 | |
Jacqueline Hartley Dunning, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4500 Stuart St, Columbia, SC 29207 Phone: 803-751-3005 | |
Robert Shawn Diggs, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6439 Garners Ferry Rd, Columbia, SC 29209 Phone: 803-776-4000 | |
Eric Wayne Powell, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2712 Middleburg Dr, Columbia, SC 29204 Phone: 803-851-1923 Fax: 803-851-1922 | |
Stephanie Butler, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3809 Rosewood Dr, Columbia, SC 29205 Phone: 803-786-1844 Fax: 803-939-2646 | |
Keith J Jones, LISW-CP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3201 Trenholm Rd, Columbia, SC 29204 Phone: 803-787-2306 Fax: 803-790-6554 |