Ms Robineta Jovonne Montelina Blackston, LCSW-A | |
1420a S Pollock St, Selma, NC 27576-3404 | |
(919) 351-0428 | |
(919) 351-0814 |
Full Name | Ms Robineta Jovonne Montelina Blackston |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1420a S Pollock St, Selma, 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 |
---|---|---|---|
1568835403 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | P009480 (North Carolina) | Primary |
Entity Name | Port Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497075618 PECOS PAC ID: 5193752681 Enrollment ID: O20050726001211 |
Mailing Address | Practice Location Address |
---|---|
Ms Robineta Jovonne Montelina Blackston, LCSW-A 615 Tuskeegee St Se, Wilson, NC 27893-6490 Ph: (252) 292-8796 | Ms Robineta Jovonne Montelina Blackston, LCSW-A 1420a S Pollock St, Selma, NC 27576-3404 Ph: (919) 351-0428 |
Callie Smith, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 S Pollock St, Selma, NC 27576 Phone: 919-965-6770 | |
Ms. Victoria F. Lucking, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 109 E Oak St, Selma, NC 27576 Phone: 919-502-9361 | |
Mrs. Sharonda Arnold Ocean, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1420 S Pollock St, Selma, NC 27576 Phone: 919-351-0428 | |
Kimberly Davis, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 S Pollock St, Selma, NC 27576 Phone: 919-965-6770 | |
Judith Batamuliza Bushaija, MSW LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 S Pollock St, Selma, NC 27576 Phone: 574-360-2226 | |
Dee Ann Etheridge, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1420a S Pollock St, Selma, NC 27576 Phone: 919-351-0428 Fax: 919-351-0814 |