Ms Patti Jordan, LCSW | |
7118 Main St, Wade, NC 28395-9749 | |
(910) 483-6694 | |
Not Available |
Full Name | Ms Patti Jordan |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 7118 Main St, Wade, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629465505 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | C001167 (North Carolina) | Primary |
Entity Name | Goshen Medical Center Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023424686 PECOS PAC ID: 3173434479 Enrollment ID: O20040102000726 |
Mailing Address | Practice Location Address |
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Ms Patti Jordan, LCSW 7118 Main St, Wade, NC 28395-9749 Ph: (910) 483-6694 | Ms Patti Jordan, LCSW 7118 Main St, Wade, NC 28395-9749 Ph: (910) 483-6694 |
Heather Britney Williams, LCSW-A Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6802 Main St, Wade, NC 28395 Phone: 910-818-5175 | |
Crystal Pone, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7118 Main St, Wade, NC 28395 Phone: 910-483-6694 Fax: 910-483-2215 | |
Elizabeth Anne Dobrin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7118 Main St, Wade, NC 28395 Phone: 910-483-6694 |