Samira Desree Smith, LCSW | |
8218 Hazelbrand Rd Ne Ste B&c, Covington, GA 30014-1509 | |
(404) 200-7754 | |
Not Available |
Full Name | Samira Desree Smith |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 8218 Hazelbrand Rd Ne Ste B&c, Covington, 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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1407432990 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | CSW007519 (Georgia) | Primary |
Entity Name | Rising Phoenix Health And Wellness Empowerment Center, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194411496 PECOS PAC ID: 1759721129 Enrollment ID: O20240502000375 |
Mailing Address | Practice Location Address |
---|---|
Samira Desree Smith, LCSW 3203 Farm Land Ct, Decatur, GA 30034-4923 Ph: (404) 200-7754 | Samira Desree Smith, LCSW 8218 Hazelbrand Rd Ne Ste B&c, Covington, GA 30014-1509 Ph: (404) 200-7754 |
Stephanie E. Moultrie, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8201 Hazelbrand Rd Ne, Covington, GA 30014 Phone: 770-787-3977 | |
Melissa Patrick, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5108 Newton Dr Ne, Covington, GA 30014 Phone: 678-712-6898 | |
Mrs. Phebee Vun Henderson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8201 Hazelbrand Rd Ne, Covington, GA 30014 Phone: 770-787-3977 Fax: 770-784-3022 | |
Catreshia Brundage, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 40 Brighton Ridge Ln, Covington, GA 30016 Phone: 706-473-0241 | |
Denise K Thomas, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 35 Oak Ridge Ct, Covington, GA 30016 Phone: 302-213-4609 | |
Matthew Scott Henderson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3155 Mill St Ne, Covington, GA 30014 Phone: 678-712-6520 Fax: 678-712-6521 | |
Samia Michelle Solaiman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3155 Mill St Ne, Covington, GA 30014 Phone: 678-712-6520 Fax: 678-712-6521 |