| Jeanie Warren, LCSW | |
|
8626 Airways Blvd, Southaven, MS 38671-2603 | |
| (662) 772-5937 | |
| (662) 772-5940 |
| Full Name | Jeanie Warren |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 15 Years |
| Location | 8626 Airways Blvd, Southaven, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225286230 | NPI | - | NPPES |
| Q019510 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C-10834 (Mississippi) | Primary |
| 1041C0700X | Social Worker - Clinical | 6286 (Tennessee) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hardin County Regional Health Center | 3779490776 | 28 |
| Entity Name | Hardin County Regional Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184676157 PECOS PAC ID: 3779490776 Enrollment ID: O20040430000116 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeanie Warren, LCSW 8626 Airways Blvd, Southaven, MS 38671-2603 Ph: (662) 772-5937 | Jeanie Warren, LCSW 8626 Airways Blvd, Southaven, MS 38671-2603 Ph: (662) 772-5937 |
Shashelia Drewnette King, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 385 Nail Road, N166, Southaven, MS 38671 Phone: 901-206-7328 | |
Mr. George Paul Comeaux, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8829 Centre St, Southaven, MS 38671 Phone: 662-280-5758 Fax: 662-280-5708 | |
Wendy Ward, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5627 Getwell Rd, Building B, Suite 4, Southaven, MS 38672 Phone: 662-349-2979 Fax: 662-349-2978 | |
Saja B Mboge, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 340 Stateline Rd W, Southaven, MS 38671 Phone: 662-510-5387 Fax: 662-342-0782 | |
Kimberly Marie Metcalf, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7165-g Getwell Rd., Southaven, MS 38672 Phone: 662-349-2818 | |
Mrs. Leah Jolley Dygert, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5915 Getwell Rd Bldg B, Southaven, MS 38672 Phone: 662-349-2979 Fax: 662-349-2978 | |
Brittany Leafaye Mckinney, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 340 Stateline Rd W, Southaven, MS 38671 Phone: 662-579-3955 |