| Jean Nicole Tippitt, LCSW | |
|
849 Volunteer Dr, Paris, TN 38242-5482 | |
| (731) 642-3600 | |
| (731) 642-6037 |
| Full Name | Jean Nicole Tippitt |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 849 Volunteer Dr, Paris, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184006231 | NPI | - | NPPES |
| 39224262 | Other | TN | GROUP MEDICVARE |
| 1508500 | Other | TN | GROUP MEDICAID |
| Q015397 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6145 (Tennessee) | Primary |
| Entity Name | Camelot Care Centers Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831397645 PECOS PAC ID: 8325495211 Enrollment ID: O20231115000297 |
| Mailing Address | Practice Location Address |
|---|---|
| Jean Nicole Tippitt, LCSW 849 Volunteer Dr, Paris, TN 38242-5482 Ph: (731) 642-3600 | Jean Nicole Tippitt, LCSW 849 Volunteer Dr, Paris, TN 38242-5482 Ph: (731) 642-3600 |
Margaret Fuson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 408 Virginia St, Paris, TN 38242 Phone: 731-642-0521 | |
Tonya Brown, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 408 Virginia St, Paris, TN 38242 Phone: 731-644-1753 Fax: 731-642-1010 | |
Mr. Don A. Sims, MSSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1117 E Wood St, Paris, TN 38242 Phone: 731-644-1089 Fax: 731-644-2173 | |
Matthew Sean Jones, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 408 Virginia St, Paris, TN 38242 Phone: 731-642-0521 Fax: 731-642-1010 | |
Angela D Bartholomew, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 408 Virginia St, Paris, TN 38242 Phone: 731-642-0521 Fax: 731-642-0521 | |
Amy Vawter, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 408 Virginia St, Paris, TN 38242 Phone: 731-642-0521 Fax: 731-642-1010 |