Ms Mary Jan Treadwell, LCSW | |
1701 White Street, Mccomb, MS 39648 | |
(601) 249-4228 | |
(601) 249-4244 |
Full Name | Ms Mary Jan Treadwell |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 43 Years |
Location | 1701 White Street, Mccomb, Mississippi |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730183062 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 09416 (Texas) | Secondary |
1041C0700X | Social Worker - Clinical | (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Serenity Psychiatric Outpatient, Llc | 7911181805 | 6 |
Beacon Healing And Wellness Llc | 7618371428 | 5 |
Entity Name | Serenity Psychiatric Outpatient, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881973642 PECOS PAC ID: 7911181805 Enrollment ID: O20110914000274 |
Mailing Address | Practice Location Address |
---|---|
Ms Mary Jan Treadwell, LCSW Po Box 768, 1701 White Street, Mccomb, MS 39648 Ph: (601) 249-4228 | Ms Mary Jan Treadwell, LCSW 1701 White Street, Mccomb, MS 39648 Ph: (601) 249-4228 |
Bente Johnson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1301b Harrison Ave, Mccomb, MS 39648 Phone: 601-600-2429 Fax: 601-600-2428 | |
Kelsa Thames, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 Rawls Dr, Mccomb, MS 39648 Phone: 601-684-8284 Fax: 601-684-8199 | |
Mrs. Tracey Michele Alexander-boyd, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1701 White St, Mccomb, MS 39648 Phone: 601-684-2173 Fax: 601-249-4234 | |
Pamela J Spiers-jones, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1701 White St, Mccomb, MS 39648 Phone: 601-684-2173 Fax: 601-249-4234 | |
Jane C Funderburg, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1701 White St, Mccomb, MS 39648 Phone: 601-249-4219 Fax: 601-249-4234 | |
Jessie L Singleton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1701 White Street, Mccomb, MS 39648 Phone: 601-249-4217 Fax: 601-249-4234 | |
Mr. Thomas A Gonsalves, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 307 Apache Dr Ste B, Mccomb, MS 39648 Phone: 601-551-1327 Fax: 601-591-5040 |