Ms Elizabeth J Pelaccio, LCSW | |
276 Rhonda Dr, Clayton, GA 30525-4050 | |
(770) 533-3992 | |
Not Available |
Full Name | Ms Elizabeth J Pelaccio |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 276 Rhonda Dr, Clayton, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386327245 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CSW008144 (Georgia) | Primary |
Entity Name | Medlink Georgia, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396794541 PECOS PAC ID: 3274442850 Enrollment ID: O20040303000376 |
Mailing Address | Practice Location Address |
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Ms Elizabeth J Pelaccio, LCSW 172 N Main St Ste 2, Clayton, GA 30525-4267 Ph: () - | Ms Elizabeth J Pelaccio, LCSW 276 Rhonda Dr, Clayton, GA 30525-4050 Ph: (770) 533-3992 |
Sandra Joan Moss, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 44 Cottonwood Lane, Clayton, GA 30525 Phone: 706-782-0717 Fax: 706-782-5266 | |
Kathy Donovan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 236 File St, Clayton, GA 30525 Phone: 706-212-2037 Fax: 801-437-2984 | |
Fred Sumner Harris, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 896 Highway 441 S, Clayton, GA 30525 Phone: 706-782-5991 | |
Mrs. Evelyn Craig Edmondson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 44 Cottonwood Street, Clayton, GA 30525 Phone: 706-782-0717 Fax: 706-782-5266 |