Mr Jacob M Bounds, MSW, LGSW | |
1109 Jefferson Rd Ste C, South Charleston, WV 25309-8815 | |
(877) 338-2725 | |
Not Available |
Full Name | Mr Jacob M Bounds |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 1109 Jefferson Rd Ste C, South Charleston, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154921799 | NPI | - | NPPES |
Entity Name | Devaraj Behavioral Healthcare Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093362840 PECOS PAC ID: 9234565649 Enrollment ID: O20200204000161 |
Mailing Address | Practice Location Address |
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Mr Jacob M Bounds, MSW, LGSW 1234 Stone Rd Apt A, Charleston, WV 25314-1881 Ph: (304) 989-1290 | Mr Jacob M Bounds, MSW, LGSW 1109 Jefferson Rd Ste C, South Charleston, WV 25309-8815 Ph: (877) 338-2725 |
Brittany Danielle Franklin, MSW, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 527 2nd Ave, South Charleston, WV 25303 Phone: 681-341-2993 | |
Mr. Waylon Allen Bryant, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1109 Jefferson Rd Ste C, South Charleston, WV 25309 Phone: 877-338-2725 | |
Cristen Dawn Wyatt-young, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1109 Jefferson Rd Ste C, South Charleston, WV 25309 Phone: 877-338-2725 | |
Ardith Payne, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 700 Technology Dr, South Charleston, WV 25309 Phone: 304-746-5300 Fax: 304-746-3912 | |
Brenda Sue Carper, MSW, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 312 6th Ave Ste 2, South Charleston, WV 25303 Phone: 304-768-6170 Fax: 304-768-2099 | |
Christy Lynn Haynes, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 312 6th Ave Ste 2, South Charleston, WV 25303 Phone: 304-768-6170 Fax: 304-768-2099 | |
Carly Erin Costello, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 207 D St, South Charleston, WV 25303 Phone: 304-887-2994 |