Jason Lee Radosevich, LCSW | |
619 Sullivan Rd, Statesville, NC 28677-3437 | |
(704) 871-0934 | |
(704) 402-1065 |
Full Name | Jason Lee Radosevich |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 11 Years |
Location | 619 Sullivan Rd, Statesville, North Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750792800 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | P008656 (North Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | C011345 (North Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Easter Seals Ucp North Carolina And Virginia Inc | 7618161407 | 12 |
Entity Name | Easter Seals Ucp North Carolina & Virginia Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306167713 PECOS PAC ID: 7618161407 Enrollment ID: O20101105000534 |
Mailing Address | Practice Location Address |
---|---|
Jason Lee Radosevich, LCSW 619 Sullivan Rd, Statesville, NC 28677-3437 Ph: (704) 871-0934 | Jason Lee Radosevich, LCSW 619 Sullivan Rd, Statesville, NC 28677-3437 Ph: (704) 871-0934 |
Megann E Grace-sanchez, MSW, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 913 N Carolina Ave, Statesville, NC 28677 Phone: 704-871-0934 | |
Ms. Sue Ann Bingham Brown, MSW, LCSW, PIP Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 276 Old Mocksville Rd Ste 100, Statesville, NC 28625 Phone: 704-317-2931 | |
Katherine Ashe Roethling, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1450 Fern Creek Dr, Statesville, NC 28625 Phone: 704-237-4240 | |
Ketwan Kareem Graham, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 474 N Center St, Statesville, NC 28677 Phone: 704-873-3491 | |
Mrs. Brenda K Martin, LCSW MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 127 N Green St, Statesville, NC 28677 Phone: 704-873-7816 Fax: 704-873-7817 | |
Maggie Rose Timmerman, LCSW-A Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 636 Signal Hill Drive Ext, Statesville, NC 28625 Phone: 704-871-2992 | |
Caitlin Josey Stephens, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2347 Simonton Rd, Statesville, NC 28625 Phone: 704-873-4719 |