| Caron Renee Sandefur, LICSW-S PIP | |
|
1501 Decatur Hwy Ste 101, Gardendale, AL 35071-3857 | |
| (205) 914-6794 | |
| Not Available |
| Full Name | Caron Renee Sandefur |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 35 Years |
| Location | 1501 Decatur Hwy Ste 101, Gardendale, Alabama |
| 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 |
|---|---|---|---|
| 1467247544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1183C-S (Alabama) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Integrative Health Services, Llc | 0648503615 | 10 |
| Entity Name | Integrative Health Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417355504 PECOS PAC ID: 0648503615 Enrollment ID: O20190605003133 |
| Mailing Address | Practice Location Address |
|---|---|
| Caron Renee Sandefur, LICSW-S PIP 8980 Pritchett Rd, Gardendale, AL 35071-3254 Ph: (205) 914-6794 | Caron Renee Sandefur, LICSW-S PIP 1501 Decatur Hwy Ste 101, Gardendale, AL 35071-3857 Ph: (205) 914-6794 |
Dr. Shanquela Williams, PHD, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Po Box 122, Gardendale, AL 35071 Phone: 205-719-3186 | |
Mrs. Vevelyn Peterson Wilson, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: Po Box 235, Gardendale, AL 35071 Phone: 205-639-9039 | |
Rebecca Moerbe, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 467 Gowins Dr, Gardendale, AL 35071 Phone: 205-919-5312 |