| Chatonia Smalls, | |
|
737 S Main St, Society Hill, SC 29593-8972 | |
| (843) 378-4501 | |
| Not Available |
| Full Name | Chatonia Smalls |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 737 S Main St, Society Hill, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972131225 | NPI | - | NPPES |
| SW1705 | Medicaid | SC | |
| Q68265 | Other | SC | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 10380-CP (South Carolina) | Primary |
| Entity Name | Caresouth Carolina Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720082571 PECOS PAC ID: 1052221314 Enrollment ID: O20040511000280 |
| Mailing Address | Practice Location Address |
|---|---|
| Chatonia Smalls, Po Box 1090, Hartsville, SC 29551-1090 Ph: (843) 857-0111 | Chatonia Smalls, 737 S Main St, Society Hill, SC 29593-8972 Ph: (843) 378-4501 |
Elizabeth Kershner, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 737 S Main St, Society Hill, SC 29593 Phone: 843-378-4501 | |
Rose Laney, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 737 S Main St, Society Hill, SC 29593 Phone: 843-378-4501 | |
Kandice Van Beerschoten, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 737 S Main St, Society Hill, SC 29593 Phone: 843-378-4501 |