Samara Foster, LCSW | |
5635 Peachtree Pkwy Ste 180, Peachtree Corners, GA 30092-2823 | |
(770) 389-8100 | |
Not Available |
Full Name | Samara Foster |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 5635 Peachtree Pkwy Ste 180, Peachtree Corners, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1710720297 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | CSW009093 (Georgia) | Primary |
Entity Name | Dekalb Community Service Board |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073686978 PECOS PAC ID: 8527958487 Enrollment ID: O20040316001099 |
Entity Name | Personal Recovery Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20120110000096 |
Mailing Address | Practice Location Address |
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Samara Foster, LCSW 445 Winn Way, Decatur, GA 30030-1707 Ph: (404) 294-3835 | Samara Foster, LCSW 5635 Peachtree Pkwy Ste 180, Peachtree Corners, GA 30092-2823 Ph: (770) 389-8100 |
Rachelle Wicker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1535 Holcomb Bridge Rd Apt C, Peachtree Corners, GA 30092 Phone: 404-585-0731 | |
Mary Stack, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6624 Jimmy Carter Blvd Ste A, Peachtree Corners, GA 30071 Phone: 770-743-0004 Fax: 404-900-5453 | |
Justin Gordon, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 6624 Jimmy Carter Blvd Ste A, Peachtree Corners, GA 30071 Phone: 404-900-5450 Fax: 404-900-5453 | |
Mrs. Charney Davis, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 6251 Smithpointe Dr Ste 204, Peachtree Corners, GA 30092 Phone: 678-577-8330 | |
Hyunsu Shin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6185 Buford Hwy, Building G, Peachtree Corners, GA 30071 Phone: 770-446-0929 Fax: 770-446-6977 | |
Jamia Poole, LMSW, LISW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5030 Riverthur Pl, Peachtree Corners, GA 30096 Phone: 470-576-4129 | |
Kara Wickman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4319 Allenhurst Dr, Peachtree Corners, GA 30092 Phone: 850-766-3462 |