| Heather D R Clevinger, LCSW | |
| 
					217 Austin View Blvd, Wake Forest, NC 27587-8343  | |
| (984) 269-2329 | |
| Not Available | 
| Full Name | Heather D R Clevinger | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 217 Austin View Blvd, Wake Forest, 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 | 
|---|---|---|---|
| 1801163605 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C009285 (North Carolina) | Primary | 
| Entity Name | Total Life Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1053909267 PECOS PAC ID: 8123433034 Enrollment ID: O20221206003475  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Heather D R Clevinger, LCSW 217 Austin View Blvd, Wake Forest, NC 27587-8343 Ph: (984) 269-2329  | Heather D R Clevinger, LCSW 217 Austin View Blvd, Wake Forest, NC 27587-8343 Ph: (984) 269-2329  | 
Courtney Michelle Myrick,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1748 Heritage Center Dr, Wake Forest, NC 27587 Phone: 919-529-5920  | |
Tracee Gregory, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 833 Wake Forest Business Park, Suite G, Wake Forest, NC 27587 Phone: 919-554-1231 Fax: 919-554-2406  | |
Carolina Ramirez, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3745 Willow Stone Ln, Wake Forest, NC 27587 Phone: 646-244-1629  | |
Minnie Simmons Vickers, MSW, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2000 S Main St, Wake Forest, NC 27587 Phone: 919-521-0665  | |
Chantelle Irankunda, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1748 Heritage Center Dr Ste 101, Wake Forest, NC 27587 Phone: 919-529-5933  | |
Mrs. Angela Karen Bridges, M.S.W., L.C.S.W Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7304 Mithrasdowne Ct, Wake Forest, NC 27587 Phone: 919-671-3317 Fax: 919-761-1244  | |
Ms. Michelle Kathlyn Bates, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 120 Capcom Ave Ste 101, Wake Forest, NC 27587 Phone: 919-792-3967 Fax: 919-761-5026  |