Mrs Lisa Ann Antonick, LCSW | |
105 Longleaf Pl, Cary, NC 27518-8919 | |
(518) 669-1798 | |
Not Available |
Full Name | Mrs Lisa Ann Antonick |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 31 Years |
Location | 105 Longleaf Pl, Cary, North Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043229016 | NPI | - | NPPES |
000403187001 | Other | BS NE NY | |
GROUP NUMBER | Other | NC | BLUE CROSS OF NORTH CAROLINA |
248368 | Other | VALUE OPTIONS | |
02348474 | Medicaid | NY | |
N7L561 | Other | EMPIRE | |
257617 | Other | COM PSYCH | |
326051 | Other | MHN | |
537788000 | Other | MAGELLAN | |
6007404 | Medicaid | NC | |
040426032094 | Other | FIDELIS | |
361170 | Other | MVP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | C006509 (North Carolina) | Primary |
Entity Name | Spectrum Recovery, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396288072 PECOS PAC ID: 7315207933 Enrollment ID: O20180130002224 |
Entity Name | Grow Healthcare Group Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221208000188 |
Mailing Address | Practice Location Address |
---|---|
Mrs Lisa Ann Antonick, LCSW 105 Longleaf Pl, Cary, NC 27518-8919 Ph: (518) 669-1798 | Mrs Lisa Ann Antonick, LCSW 105 Longleaf Pl, Cary, NC 27518-8919 Ph: (518) 669-1798 |
Ms. Amanda Lee Morris, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 531 Keisler Dr Ste 104, Cary, NC 27518 Phone: 919-439-9323 | |
Illyana Antoinese Massey, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 106 Fountain Brook Cir Ste B, Cary, NC 27511 Phone: 980-328-1775 | |
Olivia Sandin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 120 Towerview Ct, Cary, NC 27513 Phone: 919-585-5085 | |
Mrs. Lee Vang, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 721 Westover Hills Dr, Cary, NC 27513 Phone: 828-493-7517 | |
Huma Hasan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 120 Towerview Ct, Cary, NC 27513 Phone: 919-585-5085 | |
Jessica Lynn Soule, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9003 Weston Pkwy, Cary, NC 27513 Phone: 919-459-1635 Fax: 919-677-1489 |