| Camelia Theresa Dacosta, LCSW | |
|
209 Suntree Ln, Garner, NC 27529-6574 | |
| (917) 681-3099 | |
| Not Available |
| Full Name | Camelia Theresa Dacosta |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 209 Suntree Ln, Garner, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891081402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C007261 (North Carolina) | Primary |
| 104100000X | Social Worker | C007261 (North Carolina) | Secondary |
| Entity Name | Lavni Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215673256 PECOS PAC ID: 9830691484 Enrollment ID: O20250904001318 |
| Mailing Address | Practice Location Address |
|---|---|
| Camelia Theresa Dacosta, LCSW 8717 Frank Grier Rd, Charlotte, NC 28215-9430 Ph: (917) 681-3099 | Camelia Theresa Dacosta, LCSW 209 Suntree Ln, Garner, NC 27529-6574 Ph: (917) 681-3099 |
Ms. Marsha Alicia Clarke, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 905 Oakwater Dr, Garner, NC 27529 Phone: 917-842-7642 |
Angel Archer, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 192 Whitetail Deer Ln, Garner, NC 27529 Phone: 252-229-8881 |
Miss Alexandra Brye Patton, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2339 Timber Dr Ste 214, Garner, NC 27529 Phone: 919-813-0926 |
Mrs. Jennifer Ayscue, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 69 Shipwash Dr, Garner, NC 27529 Phone: 919-772-1990 |
Lamont Weathers, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 503 Us 70 Hwy E, Garner, NC 27529 Phone: 984-240-9699 |
Dorian Neal Gatlin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 34 Suntree Ln, Garner, NC 27529 Phone: 847-877-0741 |
Lorrinda Kaye Janik, MSW, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 69 Shipwash Dr, Garner, NC 27529 Phone: 919-772-1990 Fax: 919-772-1978 |