| Jonathan Hester, | |
|
3617 Braselton Hwy Ste 104, Dacula, GA 30019-4667 | |
| (770) 828-8103 | |
| Not Available |
| Full Name | Jonathan Hester |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 3617 Braselton Hwy Ste 104, Dacula, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700252061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW22850 (Florida) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW006038 (Georgia) | Primary |
| Entity Name | Trifecta Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538706916 PECOS PAC ID: 5496148470 Enrollment ID: O20220216000226 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Hester, 2597 Spring Cast Dr, Buford, GA 30519-6961 Ph: () - | Jonathan Hester, 3617 Braselton Hwy Ste 104, Dacula, GA 30019-4667 Ph: (770) 828-8103 |
Anacaona Nedge Antoine, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 575 Mulberry Park Cir, Dacula, GA 30019 Phone: 646-319-0959 | |
Ms. Leeann Elizabeth Coffey, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1110 Evergreen Oak Way, Dacula, GA 30019 Phone: 225-241-0362 | |
Andrea O Clifton, LCSW, ED.S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2320 Heatherton Cir, Dacula, GA 30019 Phone: 770-337-8721 | |
Cheryl Hughes, LCSW, CSW-G Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3617 Braselton Hwy, Suite 104, Dacula, GA 30019 Phone: 678-451-8693 Fax: 770-783-8927 | |
William Donald Anderson Jr., LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 256 Mcmillan Rd, Dacula, GA 30019 Phone: 770-262-9862 | |
Kimberly Hawthorne, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2523 Bloom Cir, Dacula, GA 30019 Phone: 404-789-9948 | |
Dr. Tamara Hambrick, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 470 Dacula Rd Unit 876, Dacula, GA 30019 Phone: 313-333-0268 |