| Amy Smith Medlin, LCSW | |
|
1401 Matthews Township Pkwy Ste 320, Matthews, NC 28105-5403 | |
| (704) 384-1261 | |
| (704) 384-3145 |
| Full Name | Amy Smith Medlin |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 12 Years |
| Location | 1401 Matthews Township Pkwy Ste 320, Matthews, 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 |
|---|---|---|---|
| 1023458767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | P008118 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | C009722 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Thriveworks Clinical - North Carolina Pc | 8527471200 | 93 |
| Entity Name | Daymark Recovery Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558329243 PECOS PAC ID: 0547233975 Enrollment ID: O20040814000213 |
| Entity Name | Monarch |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801116405 PECOS PAC ID: 0244273852 Enrollment ID: O20050728000103 |
| Entity Name | Thriveworks Clinical - North Carolina Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003303082 PECOS PAC ID: 8527471200 Enrollment ID: O20210120000669 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Smith Medlin, LCSW Po Box 60447, Charlotte, NC 28260-0447 Ph: () - | Amy Smith Medlin, LCSW 1401 Matthews Township Pkwy Ste 320, Matthews, NC 28105-5403 Ph: (704) 384-1261 |
Gavin Theofield, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 855 Sam Newell Rd Ste 100, Matthews, NC 28105 Phone: 704-360-3637 | |
Kenneth Arnold Sellinger, LCSW-A Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12715 Vinings Creek Drive, Apt 816, Matthews, NC 28105 Phone: 704-496-1314 | |
Mrs. Casey Elizabeth Jones, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3021 Senna Dr Ste B, Matthews, NC 28105 Phone: 980-533-5649 | |
Jasmine Sinclair, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10801 Monroe Rd, Matthews, NC 28105 Phone: 910-964-4119 | |
Mollie Sandler, LCSWA Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1216 Mann Dr, Matthews, NC 28105 Phone: 508-521-2200 Fax: 508-584-2227 | |
Luanne Brigman Imholt, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2030 Windsor Run Ln, Matthews, NC 28105 Phone: 704-443-6250 Fax: 704-443-6279 |