Ms Amanda Vance Clough, LISW-CP | |
448 Lakeshore Pkwy, Rock Hill, SC 29730-4264 | |
(803) 327-2012 | |
Not Available |
Full Name | Ms Amanda Vance Clough |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 448 Lakeshore Pkwy, Rock Hill, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861741530 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 12086 (South Carolina) | Primary |
1041C0700X | Social Worker - Clinical | P006945 (North Carolina) | Secondary |
Entity Name | South Carolina Dept Of Mental Health Accounting Office |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295332690 PECOS PAC ID: 9032021175 Enrollment ID: O20031107000041 |
Mailing Address | Practice Location Address |
---|---|
Ms Amanda Vance Clough, LISW-CP 205 Piedmont Blvd Ste 100, Rock Hill, SC 29732-1836 Ph: (803) 327-2012 | Ms Amanda Vance Clough, LISW-CP 448 Lakeshore Pkwy, Rock Hill, SC 29730-4264 Ph: (803) 327-2012 |
Mrs. Julia B Friar, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3206 Newcastle Dr, Rock Hill, SC 29732 Phone: 803-280-5504 | |
Takima Nelson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 448 Lakeshore Pkwy Ste 200, Rock Hill, SC 29730 Phone: 803-328-3177 | |
Miss Naomi Otano, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 205 Piedmont Blvd Ste 100, Rock Hill, SC 29732 Phone: 803-327-2012 | |
Miss Beatrice Alisha Frazier, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1070 Heckle Blvd, Rock Hill, SC 29732 Phone: 803-909-7500 Fax: 803-909-7440 | |
Ms. Ariel Gagne, LISW-CP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 289 Greentree St, Rock Hill, SC 29730 Phone: 864-542-6185 | |
Debra Nicole Riley, LISW-CP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 291 Willowbrook Ave Ste 102, Rock Hill, SC 29730 Phone: 803-347-7828 | |
Mary Angela Aldrich, LISW-CP, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 454 S. Anderson Road, Suite 211, Rock Hill, SC 29730 Phone: 803-324-9808 Fax: 803-324-9816 |