| Ms Edwina Hackett, LCSW | |
|
6005 Park Ave, Suite 630b, Memphis, TN 38119-5202 | |
| (901) 767-1136 | |
| (901) 767-0476 |
| Full Name | Ms Edwina Hackett |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 6005 Park Ave, Memphis, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023180288 | NPI | - | NPPES |
| 3046345 | Other | BCBS | |
| 3924341 | Medicaid | TN | |
| 1506890 | Medicaid | TN | |
| 10837488 | Other | CAQH PROV NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LSW0042 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Edwina Hackett, LCSW 6005 Park Ave, Suite 630b, Memphis, TN 38119-5202 Ph: (901) 767-1136 | Ms Edwina Hackett, LCSW 6005 Park Ave, Suite 630b, Memphis, TN 38119-5202 Ph: (901) 767-1136 |
Mrs. Kenyetta D. Mcintosh-jones, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1030 Jefferson Ave, Memphis, TN 38104 Phone: 901-523-8990 | |
Mrs. Martine Patrice Johnson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1030 Jefferson Avenue, Memphis, TN 38104 Phone: 901-523-8990 | |
Ms. Annie Daniel Warren, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1331 Union Ave, Suite 930, Memphis, TN 38104 Phone: 901-550-8239 | |
Mary Hamm, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6005 Park Ave, Memphis, TN 38119 Phone: 901-767-1136 Fax: 901-767-0476 | |
Mrs. Pennie Smith Heath, L.C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1840 Autumn Ave, Memphis, TN 38112 Phone: 901-725-2724 Fax: 901-725-2724 | |
Raphael Woodall, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4646 Poplar Ave Ste 302, Memphis, TN 38117 Phone: 901-930-7397 |