| Carlisle Greaves, LCSW-C | |
|
10300 Vista Hollow Way, Lanham, MD 20706-2895 | |
| (240) 210-6613 | |
| Not Available |
| Full Name | Carlisle Greaves |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 17 Years |
| Location | 10300 Vista Hollow Way, Lanham, Maryland |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942494463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 14236 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sondermind Provider Network Llc | 9537572490 | 874 |
| Entity Name | Sondermind Provider Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210908001372 |
| Mailing Address | Practice Location Address |
|---|---|
| Carlisle Greaves, LCSW-C 10300 Vista Hollow Way, Lanham, MD 20706-2895 Ph: (240) 210-6613 | Carlisle Greaves, LCSW-C 10300 Vista Hollow Way, Lanham, MD 20706-2895 Ph: (240) 210-6613 |
Laportia Shinese Jackson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7700 Harkins Rd Apt 3038, Lanham, MD 20706 Phone: 704-222-3951 | |
Antionette Parks, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9332 Annapolis Rd, Suite # 217, Lanham, MD 20706 Phone: 240-505-3149 | |
Ms. Deitra E. Bryant-mallory, LICSW, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10001 Derekwood Ln Ste 120, Lanham, MD 20706 Phone: 301-306-4590 | |
Laurel Blanco, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9332 Annapolis Rd, Ste 309, Lanham, MD 20706 Phone: 301-710-9400 | |
Amy Holden, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 7901 Annapolis Rd, Lanham, MD 20706 Phone: 240-906-4573 Fax: 301-560-8505 | |
Stephanie Jaime-luna, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4500 Forbes Blvd Ste 200, Lanham, MD 20706 Phone: 410-469-8684 | |
Ms. Aimee Elizabeth Williams, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10123 Senate Dr, Lanham, MD 20706 Phone: 301-459-9840 |