Ms Ivette Lopez Bledsoe, LCSW | |
1360 Caduceus Way Bldg 400, Suite 102, Watkinsville, GA 30677-7300 | |
(706) 286-8442 | |
Not Available |
Full Name | Ms Ivette Lopez Bledsoe |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1360 Caduceus Way Bldg 400, Watkinsville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215033212 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 627 (Colorado) | Secondary |
1041C0700X | Social Worker - Clinical | CSW005801 (Georgia) | Primary |
Entity Name | Grow Healthcare Group Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220315000829 |
Mailing Address | Practice Location Address |
---|---|
Ms Ivette Lopez Bledsoe, LCSW 1341 Arizona Bnd, Watkinsville, GA 30677-7774 Ph: (678) 726-0211 | Ms Ivette Lopez Bledsoe, LCSW 1360 Caduceus Way Bldg 400, Suite 102, Watkinsville, GA 30677-7300 Ph: (706) 286-8442 |
Molly Williamston Vaughn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1551 Jennings Mill Rd Unit 3000b, Watkinsville, GA 30677 Phone: 706-389-4051 | |
Andrew James Blackowiak, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1551 Jennings Mill Rd # 3000, Watkinsville, GA 30677 Phone: 706-247-8129 | |
Alisa Dawn Stula, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1551 Jennings Mill Rd, Resource Valley Suite 3200 A, Watkinsville, GA 30677 Phone: 706-621-2548 | |
Shea Squier, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1551 Jennings Mill Rd Unit 1900a, Watkinsville, GA 30677 Phone: 706-705-2571 | |
Ana Alviz, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1551 Jennings Mill Rd Unit 1700b, Watkinsville, GA 30677 Phone: 470-355-5200 | |
Ashley Marie Dykes, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1551 Jennings Mill Rd Unit 1700b, Watkinsville, GA 30677 Phone: 404-378-2300 | |
Minou Rysiew, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1551 Jennings Mill Rd Unit 3200a, Resource Valley, Watkinsville, GA 30677 Phone: 706-207-6611 |