| Jamie Johnson, | |
|
137 Corey Cir, Jacksonville, NC 28546-7711 | |
| (252) 723-0342 | |
| Not Available |
| Full Name | Jamie Johnson |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 137 Corey Cir, Jacksonville, 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 |
|---|---|---|---|
| 1659719581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C009089 (North Carolina) | Primary |
| Entity Name | Carolina Psychological and Psychiatric Health Srvs PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770561193 PECOS PAC ID: 9436059219 Enrollment ID: O20040109000156 |
| Mailing Address | Practice Location Address |
|---|---|
| Jamie Johnson, 137 Corey Cir, Jacksonville, NC 28546-7711 Ph: (252) 723-0342 | Jamie Johnson, 137 Corey Cir, Jacksonville, NC 28546-7711 Ph: (252) 723-0342 |
Jessica Smith, MSW,LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 215 Memorial Dr, Jacksonville, NC 28546 Phone: 910-353-5118 |
Amanda Ashley Manning, LCSW-A Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 Tarpon Trl, Jacksonville, NC 28546 Phone: 910-938-1114 Fax: 910-938-1118 |
Elise Cowart, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 445 Western Blvd Ste Q, Jacksonville, NC 28546 Phone: 910-858-5848 |
Portia Adams, LCSW-A Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 110 Branchwood Dr Ste B, Jacksonville, NC 28546 Phone: 910-938-9833 |
Ms. Tatianna Brooks, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 231 New Bridge St, Jacksonville, NC 28540 Phone: 910-915-9155 Fax: 910-939-5484 |
Nicole Marie Polidoro, LCSW-A Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 Tarpon Trl, Jacksonville, NC 28546 Phone: 910-938-1114 Fax: 910-938-1118 |
Shirby Durant, LCSWA, LCASA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 231 Memorial Dr, Jacksonville, NC 28546 Phone: 910-353-5354 |