Mrs Susan L Rutherford, MSW, LCSW | |
200 Tarpon Trl, Jacksonville, NC 28546-5287 | |
(910) 938-1114 | |
(910) 938-1118 |
Full Name | Mrs Susan L Rutherford |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 26 Years |
Location | 200 Tarpon Trl, Jacksonville, North 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 |
---|---|---|---|
1700981008 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 000370 (North Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Coastal Carolina Neuropsychiatric Center Pa | 5890794689 | 29 |
Entity Name | Coastal Carolina Neuropsychiatric Center Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184737462 PECOS PAC ID: 5890794689 Enrollment ID: O20061205000123 |
Mailing Address | Practice Location Address |
---|---|
Mrs Susan L Rutherford, MSW, LCSW 200 Tarpon Trl, Jacksonville, NC 28546-5287 Ph: (910) 938-1114 | Mrs Susan L Rutherford, MSW, LCSW 200 Tarpon Trl, Jacksonville, NC 28546-5287 Ph: (910) 938-1114 |
Jessica Smith, MSW,LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 215 Memorial Dr, Jacksonville, NC 28546 Phone: 910-353-5118 | |
Amanda Ashley Manning, LCSW-A Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 Tarpon Trl, Jacksonville, NC 28546 Phone: 910-938-1114 Fax: 910-938-1118 | |
Elise Cowart, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 445 Western Blvd Ste Q, Jacksonville, NC 28546 Phone: 910-858-5848 | |
Portia Adams, LCSW-A Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 110 Branchwood Dr Ste B, Jacksonville, NC 28546 Phone: 910-938-9833 | |
Ms. Tatianna Brooks, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 231 New Bridge St, Jacksonville, NC 28540 Phone: 910-915-9155 Fax: 910-939-5484 | |
Nicole Marie Polidoro, LCSW-A Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 Tarpon Trl, Jacksonville, NC 28546 Phone: 910-938-1114 Fax: 910-938-1118 | |
Shirby Durant, LCSWA, LCASA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 231 Memorial Dr, Jacksonville, NC 28546 Phone: 910-353-5354 |