| Chandrika Monique Derricho, LCSW | |
|
140 Cambridge Way, Covington, GA 30016-4943 | |
| (404) 644-0224 | |
| Not Available |
| Full Name | Chandrika Monique Derricho |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 140 Cambridge Way, Covington, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538615596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW006585 (Georgia) | Primary |
| Entity Name | Simpli Speaking Counseling, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912781444 PECOS PAC ID: 5698112357 Enrollment ID: O20240318002571 |
| Mailing Address | Practice Location Address |
|---|---|
| Chandrika Monique Derricho, LCSW 140 Cambridge Way, Covington, GA 30016-4943 Ph: (404) 644-0224 | Chandrika Monique Derricho, LCSW 140 Cambridge Way, Covington, GA 30016-4943 Ph: (404) 644-0224 |
Stephanie E. Moultrie, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8201 Hazelbrand Rd Ne, Covington, GA 30014 Phone: 770-787-3977 | |
Melissa Patrick, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5108 Newton Dr Ne, Covington, GA 30014 Phone: 678-712-6898 | |
Mrs. Phebee Vun Henderson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8201 Hazelbrand Rd Ne, Covington, GA 30014 Phone: 770-787-3977 Fax: 770-784-3022 | |
Rickera Syree Zachary, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 60 Oakwood Dr, Covington, GA 30016 Phone: 832-492-7049 | |
Catreshia Brundage, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 40 Brighton Ridge Ln, Covington, GA 30016 Phone: 706-473-0241 | |
Ms. Andrea Smith, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5109 Highway 278 Ne Ste D, Covington, GA 30014 Phone: 678-769-5089 | |
Denise K Thomas, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 35 Oak Ridge Ct, Covington, GA 30016 Phone: 302-213-4609 |