| Carly Marie Farrell, LCSW | |
|
110 Hidden Lake Cir, Canton, GA 30114-1233 | |
| (678) 878-0782 | |
| Not Available |
| Full Name | Carly Marie Farrell |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 9 Years |
| Location | 110 Hidden Lake Cir, Canton, Georgia |
| 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 |
|---|---|---|---|
| 1730729112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW16900 (Florida) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW007035 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Privia Medical Group Of Georgia Llc | 4284951542 | 411 |
| Entity Name | Privia Medical Group Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983 |
| Entity Name | Esfahani Enterprises Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457901340 PECOS PAC ID: 4385057512 Enrollment ID: O20210108000007 |
| Mailing Address | Practice Location Address |
|---|---|
| Carly Marie Farrell, LCSW 110 Hidden Lake Cir, Canton, GA 30114-1233 Ph: (678) 878-0782 | Carly Marie Farrell, LCSW 110 Hidden Lake Cir, Canton, GA 30114-1233 Ph: (678) 878-0782 |
Mr. Keith George Helmken, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 250 E Main St, Suite 201, Canton, GA 30114 Phone: 770-953-4744 Fax: 770-953-4740 | |
Ms. Patricia Marie Rickman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 310 Paper Trail Way, Suite 106, Canton, GA 30115 Phone: 678-880-4645 Fax: 770-628-0046 | |
Mrs. Elaine Charlotte Simms, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 260 Hospital Rd, Canton, GA 30114 Phone: 678-880-3939 Fax: 678-880-0001 | |
Kelsey Scott, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3395 Sixes Rd Unit 2302, Canton, GA 30114 Phone: 770-224-7245 | |
Natalia Dankwa, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 203 Oakside Ln Ste F, Canton, GA 30114 Phone: 770-389-8100 | |
Kayla Farabaugh, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2920 Marietta Hwy, Canton, GA 30114 Phone: 770-345-7149 Fax: 770-345-1277 | |
Melinda J Wood, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1067 Middlebrooke Dr, Canton, GA 30115 Phone: 404-423-3966 |