Theresa M Miller, LCSW | |
1000 N 1st St, Suite 1, Albemarle, NC 28001-2833 | |
(704) 983-2117 | |
(704) 983-2636 |
Full Name | Theresa M Miller |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1000 N 1st St, Albemarle, 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 |
---|---|---|---|
1316087414 | NPI | - | NPPES |
C005443 | Other | NC | LCSW |
6106568 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | C005443 (North Carolina) | Primary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221208000188 |
Mailing Address | Practice Location Address |
---|---|
Theresa M Miller, LCSW 1305 S Cannon Blvd, Kannapolis, NC 28083-6232 Ph: () - | Theresa M Miller, LCSW 1000 N 1st St, Suite 1, Albemarle, NC 28001-2833 Ph: (704) 983-2117 |
Mrs. Holly Russell Johnson, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 350 Pee Dee Ave Ste 101, Albemarle, NC 28001 Phone: 704-986-1500 | |
Laura A Zygo, MED, LPC BOARD ELIGI Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 E Hearne St, Albemarle, NC 28001 Phone: 704-607-8138 | |
Cathy Weedman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 350 Pee Dee Ave Ste A, Albemarle, NC 28001 Phone: 704-986-1500 | |
Anita Lynn Alexander, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 350 Pee Dee Ave Ste 101, Albemarle, NC 28001 Phone: 704-986-1500 | |
Ana Liza Margarita Cisneros-howard, MSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 350 Pee Dee Ave, Albemarle, NC 28001 Phone: 704-986-1500 | |
Gina Kay Kavanagh, P-LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1000 N 1st St, Suite 1, Albemarle, NC 28001 Phone: 704-983-2117 Fax: 704-983-2636 | |
John Gaffney, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 350 Pee Dee Ave, Suite A, Albemarle, NC 28001 Phone: 704-986-1569 |