| Elizabeth A Nicholson, LCSW | |
|
1913 Smith Ave, Thomasville, GA 31792-5751 | |
| (229) 226-7060 | |
| (229) 226-7061 |
| Full Name | Elizabeth A Nicholson |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 28 Years |
| Location | 1913 Smith Ave, Thomasville, Georgia |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245558964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW003186 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Privia Medical Group Of Georgia Llc | 4284951542 | 411 |
| Shaw Living Pc | 6800221904 | 6 |
| Entity Name | Shaw Center For Women's Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427067057 PECOS PAC ID: 7214829639 Enrollment ID: O20040329001072 |
| Entity Name | Privia Medical Group Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983 |
| Entity Name | Shaw Living Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033778923 PECOS PAC ID: 6800221904 Enrollment ID: O20200118000078 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth A Nicholson, LCSW 104 Moss Trl, Thomasville, GA 31792-1670 Ph: (404) 550-3015 | Elizabeth A Nicholson, LCSW 1913 Smith Ave, Thomasville, GA 31792-5751 Ph: (229) 226-7060 |
Sarah P Chambers, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 103 Young St Apt B, Thomasville, GA 31792 Phone: 229-561-0615 | |
Thalia D Diggs, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 122 Tall Timbers Rd Apt B, Thomasville, GA 31757 Phone: 229-413-3253 | |
Kelly R Stevenson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1102 Smith Ave, Suite K, Thomasville, GA 31792 Phone: 229-227-2429 Fax: 229-225-4374 | |
Mr. Adrian Ramsey Stowers, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1815 E Clay St, Thomasville, GA 31792 Phone: 229-233-2982 | |
Mrs. Jessica Greil-burkhart, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1102 Smith Ave, Thomasville, GA 31792 Phone: 229-225-5208 | |
Robert James Hurn, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1102 Smith Ave, Thomasville, GA 31792 Phone: 229-225-4335 Fax: 229-225-4374 |