| Danielle Fazio, LCSW | |
|
3945 Market St Unit B, Wilmington, NC 28403-1403 | |
| (910) 523-2466 | |
| (910) 994-4870 |
| Full Name | Danielle Fazio |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 3945 Market St Unit B, Wilmington, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295596450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904016260 (Virginia) | Secondary |
| 1041C0700X | Social Worker - Clinical | C017109 (North Carolina) | Primary |
| Entity Name | Rappahannock Area Community Services Board |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790742153 PECOS PAC ID: 8123016318 Enrollment ID: O20040505000981 |
| Mailing Address | Practice Location Address |
|---|---|
| Danielle Fazio, LCSW 3945 Market St Unit B, Wilmington, NC 28403-1403 Ph: (910) 523-2466 | Danielle Fazio, LCSW 3945 Market St Unit B, Wilmington, NC 28403-1403 Ph: (910) 523-2466 |
Mr. Joseph Peters, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 407 Kelly Rd, Wilmington, NC 28409 Phone: 910-409-2754 | |
Elisabeth Troy, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1606 Physicians Dr Ste 104, Wilmington, NC 28401 Phone: 910-343-6890 Fax: 910-332-1233 | |
Miss Mary Florence Wood, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 615 Shipyard Blvd, Wilmington, NC 28412 Phone: 910-617-9647 Fax: 910-202-5772 | |
Makayla Jessica Bowling Mills, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1606 Physicians Dr Ste 104, Wilmington, NC 28401 Phone: 910-343-6890 | |
Mrs. Aimee L. Schulze, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 311-4e Judges Rd, Wilmington, NC 28405 Phone: 910-791-6767 Fax: 910-791-6890 | |
Mary E Dowcett, P-LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1606 Physicians Dr Ste 104, Wilmington, NC 28401 Phone: 910-343-6890 | |
Terrance Williams, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 615 Shipyard Blvd, Wilmington, NC 28412 Phone: 910-343-0145 Fax: 910-202-9966 |