| Jennifer Stanford, LCSW | |
|
216 Laurel Dr, Adamsville, TN 38310-1924 | |
| (731) 607-8606 | |
| Not Available |
| Full Name | Jennifer Stanford |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 216 Laurel Dr, Adamsville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982175402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 8786 (Tennessee) | Primary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221116002565 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Stanford, LCSW 216 Laurel Dr, Adamsville, TN 38310-1924 Ph: (731) 607-8606 | Jennifer Stanford, LCSW 216 Laurel Dr, Adamsville, TN 38310-1924 Ph: (731) 607-8606 |
Cynthia Lynn Johnson, LCSW LICENESED CLINI Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 106 Ash St, Adamsville, TN 38310 Phone: 731-315-1213 Fax: 731-315-1213 | |
Jeanie Warren, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 726 E Main St, Adamsville, TN 38310 Phone: 731-925-2300 Fax: 731-925-3506 |