| Carla Jane Andersson, | |
| 
					2511 Old Cornwallis Rd Ste 200, Durham, NC 27713-1869  | |
| (919) 932-5700 | |
| (919) 933-6881 | 
| Full Name | Carla Jane Andersson | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 2511 Old Cornwallis Rd Ste 200, Durham, 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 | 
|---|---|---|---|
| 1093279416 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C008642 (North Carolina) | Primary | 
| Entity Name | Doctors Making Housecalls Psychiatric Medicine,pa | 
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) | 
| Entity Identifiers | NPI Number: 1518107325 PECOS PAC ID: 9537213186 Enrollment ID: O20090815000138  | 
| Entity Name | Lifesource Of North Carolina | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1811286156 PECOS PAC ID: 7416132428 Enrollment ID: O20110505000743  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Carla Jane Andersson, 86 Chardonney Dr, Clayton, NC 27520-9613 Ph: () -  | Carla Jane Andersson, 2511 Old Cornwallis Rd Ste 200, Durham, NC 27713-1869 Ph: (919) 932-5700  | 
Miss Nancy Carol Lee, LCSW-P, CMSW, MHA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 508 Fulton St, Social Work Service (122), Durham, NC 27705 Phone: 919-286-0411 Fax: 919-416-5834  | |
Ms. Esther L Swim-wright, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 115 N Duke Street, Suite 1-b, Durham, NC 27701 Phone: 919-286-3453 Fax: 919-286-7033  | |
Ms. Gwen Elizabeth Madill, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 508 Fulton St, Social Work Service, Durham, NC 27705 Phone: 919-286-0411  | |
Mr. Timothy P Donahoe, LQP, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2670 Durham-chapel Hill Blvd., Durham, NC 27707 Phone: 919-251-9001 Fax: 919-251-9008  | |
Mrs. Caroline Marie Griffin, MSW, LSCW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 508 Fulton Street, Department Of Veterans Affairs Medical Center, Durham, NC 27705 Phone: 919-286-0411  | |
Ms. Erum Agha, PHD, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2310 S Miami Blvd Ste 136, Durham, NC 27703 Phone: 919-401-8261  | |
Seneca Williams, CSW,MSW,LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1015 Statler Dr, Durham, NC 27703 Phone: 832-273-6387  |