Stephanie Smith Boyles, LCSW | |
605 Watauga St, Kingsport, TN 37660-4447 | |
(844) 215-0811 | |
(888) 395-1262 |
Full Name | Stephanie Smith Boyles |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 605 Watauga St, Kingsport, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255099156 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 8676 (Tennessee) | Secondary |
1041C0700X | Social Worker - Clinical | 0904015499 (Virginia) | Primary |
Entity Name | Supportive Care Of Maryland Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447802616 PECOS PAC ID: 9234460999 Enrollment ID: O20191010000282 |
Mailing Address | Practice Location Address |
---|---|
Stephanie Smith Boyles, LCSW 605 Watauga St, Kingsport, TN 37660-4447 Ph: (844) 215-0811 | Stephanie Smith Boyles, LCSW 605 Watauga St, Kingsport, TN 37660-4447 Ph: (844) 215-0811 |
Leonard Williams, LCSW, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2991 Fort Henry Dr, Kingsport, TN 37664 Phone: 423-392-2975 | |
Matthew Andrews, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1570 Waverly Rd, Kingsport, TN 37664 Phone: 423-224-1300 Fax: 423-467-3644 | |
Betty Jo Miller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2300 Pavilion Dr, Kingsport, TN 37660 Phone: 423-857-5571 Fax: 423-857-5237 | |
Cherub Seargeant, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1326 E Windsor St, Kingsport, TN 37660 Phone: 865-617-1086 | |
Mrs. Cynthia Dawn Ketron, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3218 Dutchess Dr, Kingsport, TN 37663 Phone: 423-239-5912 | |
Clarissa Abbott, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 605 Watauga St, Kingsport, TN 37660 Phone: 844-215-0811 |