Carmen Kadesha Jimenez, MSW, LCSW, LISW-CP is a
Social Worker - Clinical based in Evans, Georgia. Carmen Kadesha Jimenez is licensed to practice in South Carolina (license number SW.10478 CP) and her current practice location is
4460 Washington Rd Ste 19, Evans, Georgia. She can be reached at her office (for appointments etc.) via phone at
(980) 275-2505.
NPI number for Carmen Kadesha Jimenez is 1215280904 and her current mailing address is Po Box 5111, Augusta, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215280904.
Healthcare Provider's Profile
| Full Name | Carmen Kadesha Jimenez |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 4460 Washington Rd Ste 19, Evans, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1215280904
- Provider Enumeration Date: 10/18/2012
- Last Update Date: 02/27/2019
Medical Identifiers
Medical identifiers for Carmen Kadesha Jimenez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215280904 | NPI | - | NPPES |
| 003213277A | Medicaid | GA | |
| SW1128 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | SW.10478 CP (South Carolina) | Secondary |
| 101YM0800X | Counselor - Mental Health | P007687 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | P007687 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW.10478 CP (South Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carmen Kadesha Jimenez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Carmen Kadesha Jimenez, MSW, LCSW, LISW-CP
Po Box 5111,
Augusta, GA 30916-5111
Ph: (980) 275-2505 | Carmen Kadesha Jimenez, MSW, LCSW, LISW-CP
4460 Washington Rd Ste 19,
Evans, GA 30809-3963
Ph: (980) 275-2505 |
Reviews and Comments