Mr Jakime Lamar Ellison, P-LCSW is a
Social Worker - Clinical based in Greensboro, North Carolina. Mr Jakime Lamar Ellison is licensed to practice in North Carolina (license number P006095) and his current practice location is
3405 W Wendover Ave, Suite A, Greensboro, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(336) 235-2427.
NPI number for Mr Jakime Lamar Ellison is 1225339260 and his current mailing address is 724 Creek Ridge Rd, Lot# 142, Greensboro, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225339260.
Healthcare Provider's Profile
Full Name | Mr Jakime Lamar Ellison |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 3405 W Wendover Ave, Greensboro, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1225339260
- Provider Enumeration Date: 11/08/2010
- Last Update Date: 11/08/2010
Medical Identifiers
Medical identifiers for Mr Jakime Lamar Ellison such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225339260 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | P006095 (North 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. Mr Jakime Lamar Ellison 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 |
Mr Jakime Lamar Ellison, P-LCSW 724 Creek Ridge Rd, Lot# 142, Greensboro, NC 27406-4821 Ph: (336) 253-0547 | Mr Jakime Lamar Ellison, P-LCSW 3405 W Wendover Ave, Suite A, Greensboro, NC 27407-2377 Ph: (336) 235-2427 |
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