| Jerry Mitchell Register Jr, LCSW | |
|
2935 N Ashley St Bldg F, Valdosta, GA 31602-1777 | |
| (229) 333-2273 | |
| (229) 506-5403 |
| Full Name | Jerry Mitchell Register Jr |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 2935 N Ashley St Bldg F, Valdosta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194455964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW008106 (Georgia) | Primary |
| Entity Name | Better Mood Clinic S Ga Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154603470 PECOS PAC ID: 0941472617 Enrollment ID: O20111003000290 |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry Mitchell Register Jr, LCSW 3338 Country Club Rd # 270, Valdosta, GA 31605-1044 Ph: (229) 333-2273 | Jerry Mitchell Register Jr, LCSW 2935 N Ashley St Bldg F, Valdosta, GA 31602-1777 Ph: (229) 333-2273 |
Ms. Barbara Faye Frier, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3541 Northcrossing Cir, Valdosta, GA 31602 Phone: 229-244-4200 | |
Mary Fulp-pye, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3541 N Crossing Cir, Valdosta, GA 31602 Phone: 229-244-4200 Fax: 229-244-4995 | |
Kelly Delayne Jones, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2310 N Patterson St, Suite G, Valdosta, GA 31602 Phone: 229-244-9688 Fax: 229-244-5354 | |
Annie Alisha Williams, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3982 Karaline Cir, Valdosta, GA 31605 Phone: 229-460-7645 | |
Ms. Regina Yvette Scruggs, LCSW, MS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 N Patterson St Ste 50, Valdosta, GA 31601 Phone: 229-834-5452 | |
Lauren Darby, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3790 Old Us Highway 41 N Ste A, Valdosta, GA 31602 Phone: 229-262-1000 | |
Latasha Yvette Alston, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2529 Forrestwood Dr, Valdosta, GA 31602 Phone: 229-630-8097 |