| Carolyn D Womack, LCSW | |
|
800 Ohio Ave, Clarksdale, MS 38614-7200 | |
| (662) 624-2504 | |
| (662) 627-3629 |
| Full Name | Carolyn D Womack |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 800 Ohio Ave, Clarksdale, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053976381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C6051 (Mississippi) | Primary |
| Entity Name | Aaron E Henry Community Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003814104 PECOS PAC ID: 1153230560 Enrollment ID: O20040330001267 |
| Mailing Address | Practice Location Address |
|---|---|
| Carolyn D Womack, LCSW Po Box 1216, Clarksdale, MS 38614-1216 Ph: (662) 624-4292 | Carolyn D Womack, LCSW 800 Ohio Ave, Clarksdale, MS 38614-7200 Ph: (662) 624-2504 |
Oquandryia Monique Ross, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 408 Harrison Ave, Clarksdale, MS 38614 Phone: 662-588-4180 | |
Cherrelle N Shorter, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 800 Ohio Ave, Clarksdale, MS 38614 Phone: 662-624-2504 Fax: 662-627-3629 | |
Latonya R Thomas, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 122 Desoto Ave Ste 109, Clarksdale, MS 38614 Phone: 662-592-5397 Fax: 662-627-2442 |