Family Service Of The Piedmont, Inc | |
315 E Washington St Greensboro NC 27401-2911 | |
(336) 387-6161 | |
(336) 387-9167 |
Full Name | Family Service Of The Piedmont, Inc |
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Speciality | Counselor |
Location | 315 E Washington St, Greensboro, North Carolina |
Authorized Official Name and Position | Thomas Campbell (CEO) |
Authorized Official Contact | 3363876161 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Service Of The Piedmont, Inc 902 Bonner Dr Jamestown NC 27282-8948 Ph: (336) 387-6161 | Family Service Of The Piedmont, Inc 315 E Washington St Greensboro NC 27401-2911 Ph: (336) 387-6161 |
NPI Number | 1881773554 |
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Provider Enumeration Date | 11/03/2006 |
Last Update Date | 03/04/2024 |
Certification Date | 03/04/2024 |
Medicare PECOS PAC ID | 8426182965 |
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Medicare Enrollment ID | O20100818001335 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881773554 | NPI | - | NPPES |
6005168 | Medicaid | NC |
Provider Name | Linda D Greninger |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154488203 PECOS PAC ID: 2062473820 Enrollment ID: I20041025000654 |
Provider Name | Leslie C Oneal |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912033689 PECOS PAC ID: 4688726508 Enrollment ID: I20090723000222 |
Provider Name | Kenneth L Shore |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1871762641 PECOS PAC ID: 3971644634 Enrollment ID: I20100104000443 |
Provider Name | Janet L Cecil |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1013168665 PECOS PAC ID: 0244355444 Enrollment ID: I20100910001032 |
Provider Name | Ann E Bailey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811208796 PECOS PAC ID: 7315139391 Enrollment ID: I20101008000581 |
Provider Name | Jason E Jones |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1114941978 PECOS PAC ID: 8921166372 Enrollment ID: I20110202000237 |
Provider Name | Anthony Tunelle Steele |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558357160 PECOS PAC ID: 4587827456 Enrollment ID: I20120514000402 |
Provider Name | Regina Th Alexander |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1053509893 PECOS PAC ID: 0941439384 Enrollment ID: I20140206000909 |
Provider Name | Traci M Abernethy |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1548536485 PECOS PAC ID: 4385873280 Enrollment ID: I20140218000712 |
Provider Name | Anita L Jones |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1841615960 PECOS PAC ID: 5698998490 Enrollment ID: I20140523001530 |
Provider Name | Andres Mondragon |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1033550462 PECOS PAC ID: 0042520033 Enrollment ID: I20151103001813 |
Provider Name | George B Jahnes |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1306277736 PECOS PAC ID: 3072810969 Enrollment ID: I20160321000223 |
Provider Name | Meredith B Baker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982770467 PECOS PAC ID: 1759669963 Enrollment ID: I20161023000000 |
Provider Name | Jason T Citty |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1679099469 PECOS PAC ID: 1658700364 Enrollment ID: I20200401000580 |
Provider Name | James R Pearce |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1831612829 PECOS PAC ID: 6901237494 Enrollment ID: I20200518001571 |
Provider Name | Alisha N Lowman |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1114443637 PECOS PAC ID: 4880017482 Enrollment ID: I20200714002677 |
Provider Name | Larae Burton Mclean |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1568851293 PECOS PAC ID: 3577979756 Enrollment ID: I20210312001746 |
Provider Name | Tonya Bunch |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1306406012 PECOS PAC ID: 0446618938 Enrollment ID: I20230614004006 |
Provider Name | Pura M Lopez Davila |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1356697395 PECOS PAC ID: 9032562459 Enrollment ID: I20240201000491 |
Provider Name | Cynthia H Cabaniss |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1396774360 PECOS PAC ID: 1951744218 Enrollment ID: I20240205000220 |
Provider Name | Lindsey M Lahr |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1164924072 PECOS PAC ID: 4880038751 Enrollment ID: I20240219002950 |
Provider Name | Rebecca S Burruss |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1629471693 PECOS PAC ID: 4789028689 Enrollment ID: I20240220000366 |
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