| Denovo Clinical Strategies, Llc | |
|
4821 American Way Ste 315 Memphis TN 38118-2454 | |
| (901) 334-6948 | |
| Not Available |
| Full Name | Denovo Clinical Strategies, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4821 American Way Ste 315, Memphis, Tennessee |
| Authorized Official Name and Position | Crystal Dinesse Deberry (CEO) |
| Authorized Official Contact | 9013346948 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Denovo Clinical Strategies, Llc 4821 American Way Ste 315 Memphis TN 38118-2454 Ph: (901) 334-6948 | Denovo Clinical Strategies, Llc 4821 American Way Ste 315 Memphis TN 38118-2454 Ph: (901) 334-6948 |
| NPI Number | 1942848213 |
|---|---|
| Provider Enumeration Date | 12/17/2019 |
| Last Update Date | 12/17/2019 |
| Certification Date | 12/17/2019 |
| Medicare PECOS PAC ID | 3971931643 |
|---|---|
| Medicare Enrollment ID | O20200311000378 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942848213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Crystal Dinesse Deberry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760991038 PECOS PAC ID: 5193053379 Enrollment ID: I20190826003473 |
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