Charity Fannin, LCSW | |
104 S Front Ave, Prestonsburg, KY 41653 | |
(606) 886-8572 | |
(606) 886-4433 |
Full Name | Charity Fannin |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 104 S Front Ave, Prestonsburg, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649725680 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 253260 (Kentucky) | Primary |
Entity Name | Pathways Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982615043 PECOS PAC ID: 1254239171 Enrollment ID: O20031230000043 |
Mailing Address | Practice Location Address |
---|---|
Charity Fannin, LCSW 104 S Front Ave, Prestonsburg, KY 41653-1614 Ph: (606) 886-8572 | Charity Fannin, LCSW 104 S Front Ave, Prestonsburg, KY 41653 Ph: (606) 886-8572 |
Virgil Ryan Butcher, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 104 S Front Ave, Prestonsburg, KY 41653 Phone: 606-886-8572 Fax: 606-886-4433 | |
Whitney Litteral, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 104 S Front Ave, Prestonsburg, KY 41653 Phone: 606-886-8572 Fax: 606-886-4433 | |
Robin Bilan, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 104 S Front Ave, Prestonsburg, KY 41653 Phone: 606-886-8572 Fax: 606-886-4433 | |
Yamiley Coleman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 104 S Front Ave, Prestonsburg, KY 41653 Phone: 606-886-8572 Fax: 606-886-4433 | |
Jenny Leigh Moore, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 104 S Front Ave, Prestonsburg, KY 41653 Phone: 606-886-8572 Fax: 606-886-4433 | |
Brandi Mccoy, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 561 N Lake Dr, Prestonsburg, KY 41653 Phone: 606-216-4834 | |
Bonnie B. Hale, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 104 S Front Ave, Prestonsburg, KY 41653 Phone: 606-886-8572 Fax: 606-886-4433 |