| Dr Donnetta Shante Washington, LCSW | |
|
4550 Jonesboro Rd Ste A2-208, Union City, GA 30291-2050 | |
| (205) 575-9303 | |
| Not Available |
| Full Name | Dr Donnetta Shante Washington |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 4550 Jonesboro Rd Ste A2-208, Union City, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619561842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 4963C (Alabama) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW007505 (Georgia) | Primary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220315000829 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Donnetta Shante Washington, LCSW 1405 Clifton Rd Ne, Atlanta, GA 30322-2050 Ph: (205) 575-9303 | Dr Donnetta Shante Washington, LCSW 4550 Jonesboro Rd Ste A2-208, Union City, GA 30291-2050 Ph: (205) 575-9303 |
Shae-dee Reigns, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3835 Cypress Pointe Dr, Union City, GA 30291 Phone: 347-770-7423 | |
Dr. Arlesia Malone, PHD, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7902 Four Oaks Ct, Union City, GA 30291 Phone: 470-636-7688 | |
Mrs. Melanie L. Ponder-wright, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4405 Mall Blvd, Union City, GA 30291 Phone: 770-892-3200 | |
Ms. Charmaine Veronica Mattocks, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7413 Gossamer St, Union City, GA 30291 Phone: 404-664-2381 | |
Beatrice Berry, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4500 Shannon Blvd Apt 6b, Union City, GA 30291 Phone: 770-774-3493 | |
Mrs. Retina Deon Dawson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5100 Alexander Ave, Union City, GA 30291 Phone: 404-428-8038 |