| Casey Bankhead, | |
|
130 Library St, Barnesville, GA 30204-1609 | |
| (770) 358-5252 | |
| Not Available |
| Full Name | Casey Bankhead |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 130 Library St, Barnesville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578375499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW009220 (Georgia) | Primary |
| Entity Name | Mcintosh Trail Community Service Board |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336317270 PECOS PAC ID: 6204818669 Enrollment ID: O20040601001239 |
| Mailing Address | Practice Location Address |
|---|---|
| Casey Bankhead, 1435 N Expressway Ste 301, Griffin, GA 30223-9014 Ph: (770) 358-5252 | Casey Bankhead, 130 Library St, Barnesville, GA 30204-1609 Ph: (770) 358-5252 |
Wesley Michael Hubbard, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 314 College Dr, Barnesville, GA 30204 Phone: 770-358-8242 | |
Ms. Brenda Joyce Koplan, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 522 Greenwood St, Suite G, Barnesville, GA 30204 Phone: 404-402-6132 Fax: 770-228-4847 | |
Mrs. Marilyn Reynolds Lipper, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 522 Greenwood St, Suite G, Barnesville, GA 30204 Phone: 770-789-2238 Fax: 770-229-2015 |