Shavonne Nicole Harrell, MSW, LCSW, LCAS | |
3000 New Bern Ave, Raleigh, NC 27610-1231 | |
(919) 350-8000 | |
Not Available |
Full Name | Shavonne Nicole Harrell |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 3000 New Bern Ave, Raleigh, 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 |
---|---|---|---|
1821441460 | NPI | - | NPPES |
1821441460 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | P010790 (North Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | C014317 (North Carolina) | Primary |
Entity Name | Wakemed |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194907717 PECOS PAC ID: 7315937612 Enrollment ID: O20040722000418 |
Mailing Address | Practice Location Address |
---|---|
Shavonne Nicole Harrell, MSW, LCSW, LCAS Po Box 602368, Charlotte, NC 28260-2368 Ph: (919) 350-0351 | Shavonne Nicole Harrell, MSW, LCSW, LCAS 3000 New Bern Ave, Raleigh, NC 27610-1231 Ph: (919) 350-8000 |
Ms. Tonya R Gable, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-4163 Fax: 919-350-8509 | |
Ms. Holly H Head, P-LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-7445 Fax: 919-350-8509 | |
Carol D Kassey, MSW. LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5850 Faringdon Pl, Raleigh, NC 27609 Phone: 919-872-9974 Fax: 919-872-9975 | |
Miss Kimberly G. Kueny, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1001 Navaho Dr, Suite 210, Raleigh, NC 27609 Phone: 919-872-1178 Fax: 919-872-1170 | |
Casey Paganucci, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8105 Fayetteville Rd, Suite 121-2038, Raleigh, NC 27603 Phone: 919-364-5386 | |
Amy Lynn Bryan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4000 Wake Forest Rd, Suite 200, Raleigh, NC 27609 Phone: 919-865-8710 | |
Miss Darnesha Coleman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3125 Poplarwood Ct Ste 300, Raleigh, NC 27604 Phone: 919-790-8580 |