| Ms Breonna Delois Lane, LCSW | |
|
1634 Plexor Ln, Knightdale, NC 27545-7285 | |
| (910) 315-9479 | |
| Not Available |
| Full Name | Ms Breonna Delois Lane |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 8 Years |
| Location | 1634 Plexor Ln, Knightdale, North Carolina |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477189546 | NPI | - | NPPES |
| 1477189546 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C015558 (North Carolina) | Primary |
| 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: O20221007001608 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Breonna Delois Lane, LCSW 1634 Plexor Ln, Knightdale, NC 27545-7285 Ph: (910) 315-9479 | Ms Breonna Delois Lane, LCSW 1634 Plexor Ln, Knightdale, NC 27545-7285 Ph: (910) 315-9479 |
Ms. Maria Joan Patricia Hinckley, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6602 Knightdale Blvd Ste 202, Knightdale, NC 27545 Phone: 919-747-5270 Fax: 919-747-5271 |
Shakeria E Mcguire, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 Scott Ct, Knightdale, NC 27545 Phone: 919-391-5128 |
Kadijah Laneak Harris, LCSW-A Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5304 Rutledgeville Lane, Knightdale, NC 27545 Phone: 919-307-5320 |
Jalicia Barrett, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 Scott Ct, Knightdale, NC 27545 Phone: 919-391-5128 |
Kimesa Wilkins, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Po Box 264, Knightdale, NC 27545 Phone: 919-225-3355 |
Ms. Sharon Hartzog, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 418 Star Ruby Dr, Knightdale, NC 27545 Phone: 919-266-4629 |
Marrika Lewis, MSW,LCSW,CCM Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1212 Jasmine View Way, Knightdale, NC 27545 Phone: 919-931-9328 |