Sara Nicole Cornwell, LCSW | |
401 S Madison St, Albany, GA 31701-3111 | |
(229) 888-3636 | |
(229) 888-5535 |
Full Name | Sara Nicole Cornwell |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 401 S Madison St, Albany, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417325630 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CSW005542 (Georgia) | Primary |
Entity Name | Phoebe Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583 |
Mailing Address | Practice Location Address |
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Sara Nicole Cornwell, LCSW 204 N Westover Blvd, Albany, GA 31707-2983 Ph: (229) 888-6559 | Sara Nicole Cornwell, LCSW 401 S Madison St, Albany, GA 31701-3111 Ph: (229) 888-3636 |
Mrs. Ngina Omolade Mandouma, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 229-733-2429 | |
Ms. Claire Banister, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1906 Forest Glen Dr, Albany, GA 31707 Phone: 229-435-6146 Fax: 229-435-6146 | |
Lisha Jones, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 111 Westcott Ln, Albany, GA 31721 Phone: 229-349-3728 | |
Martha Mixon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 229-312-7001 Fax: 229-312-7006 | |
Mrs. Ricketta Yarbrough Mccoy, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2908 Harvest Ln, Albany, GA 31721 Phone: 229-869-9524 | |
Mary Katherine Wanner, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2500 Dawson Rd Ste 101, Albany, GA 31707 Phone: 229-430-5100 | |
Tiara H Clayton, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12072 Putnam Blvd Apt A, Albany, GA 31705 Phone: 904-508-9436 |