Jessica Lanette Baker, | |
1706 Wayne Memorial Dr, Goldsboro, NC 27534-2240 | |
(919) 734-6676 | |
(919) 238-7919 |
Full Name | Jessica Lanette Baker |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1706 Wayne Memorial Dr, Goldsboro, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891405262 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | C018035 (North Carolina) | Primary |
1041C0700X | Social Worker - Clinical | P017856 (North Carolina) | Secondary |
Entity Name | Lifesource Of North Carolina |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811286156 PECOS PAC ID: 7416132428 Enrollment ID: O20110505000743 |
Mailing Address | Practice Location Address |
---|---|
Jessica Lanette Baker, 1706 Wayne Memorial Dr, Goldsboro, NC 27534-2240 Ph: (919) 734-6676 | Jessica Lanette Baker, 1706 Wayne Memorial Dr, Goldsboro, NC 27534-2240 Ph: (919) 734-6676 |
Jasmine Detrice Ellison, LCSW-A Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1503 Wayne Memorial Dr Ste E, Goldsboro, NC 27534 Phone: 919-587-0001 Fax: 919-587-0007 | |
Ms. Lakisha King, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1318 Wayne Memorial Dr, Suite A & B, Goldsboro, NC 27534 Phone: 919-734-0753 | |
Mr. Jerome L Ellis, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1050 Jabarrah Ave, Seymour Johnson Afb, Goldsboro, NC 27531 Phone: 919-722-0928 Fax: 919-722-1952 | |
Comatha B Johnson, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1705 N Berkeley Blvd, Goldsboro, NC 27534 Phone: 919-751-0277 Fax: 919-751-0278 | |
Pattie Lou Jones, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1706 Wayne Memorial Dr, Goldsboro, NC 27534 Phone: 919-734-6676 | |
Ms. Brianna Nicole Davis, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1606 Boyette Dr, Goldsboro, NC 27534 Phone: 919-394-3801 | |
Mr. William Lowry Jr., Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 307 Beech St, Goldsboro, NC 27530 Phone: 919-731-2119 |