Ms Clarissa Anita Elmore, | |
1190 W Roosevelt Blvd, Monroe, NC 28110-2818 | |
(704) 296-6200 | |
Not Available |
Full Name | Ms Clarissa Anita Elmore |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 13 Years |
Location | 1190 W Roosevelt Blvd, Monroe, North Carolina |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710523196 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | P014066 (North Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Integrative Wellness Solutions Pllc | 8022341494 | 75 |
Entity Name | Integrative Wellness Solutions Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447760871 PECOS PAC ID: 8022341494 Enrollment ID: O20190618000993 |
Mailing Address | Practice Location Address |
---|---|
Ms Clarissa Anita Elmore, 284 Executive Park Dr Ste 100, Concord, NC 28025-1833 Ph: (704) 939-1100 | Ms Clarissa Anita Elmore, 1190 W Roosevelt Blvd, Monroe, NC 28110-2818 Ph: (704) 296-6200 |
Sharelle Monique Hatley, MSW, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 501 North Charlotte Ave, Suite C-214, Monroe, NC 28112 Phone: 704-233-7883 Fax: 336-793-9095 | |
Walter Earl Knox, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1190 W Roosevelt Blvd, Monroe, NC 28110 Phone: 704-296-6200 | |
Vanessa Henderson, PLCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1408 E Franklin St, Monroe, NC 28112 Phone: 704-280-6040 | |
Jasmine Ashley Iannotti, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 304 E Phifer St, Monroe, NC 28110 Phone: 980-224-4685 | |
Jamia Michaela Tazzia Geddie, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1301 Lockhart St, Monroe, NC 28112 Phone: 704-698-7934 | |
Mckenzie Laine Wilson, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1190 W Roosevelt Blvd, Monroe, NC 28110 Phone: 704-296-6200 Fax: 704-296-6275 | |
Theodus Marques Roach, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1408 E Franklin St, Monroe, NC 28112 Phone: 704-635-2080 |