Katherine Kendall Perry, LCSW | |
850 Mayfield Rd Ste 203, Milton, GA 30009-3012 | |
(770) 389-8100 | |
Not Available |
Full Name | Katherine Kendall Perry |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 850 Mayfield Rd Ste 203, Milton, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861902561 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 000120576 (Massachusetts) | Secondary |
1041C0700X | Social Worker - Clinical | CSW005323 (Georgia) | Primary |
Entity Name | The Southeast Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
Entity Name | Personal Recovery Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20120110000096 |
Mailing Address | Practice Location Address |
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Katherine Kendall Perry, LCSW 3650 Steve Reynolds Blvd, Duluth, GA 30096-4506 Ph: (706) 831-3803 | Katherine Kendall Perry, LCSW 850 Mayfield Rd Ste 203, Milton, GA 30009-3012 Ph: (770) 389-8100 |
Mrs. Yolanda Ducksworth, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 433 Mcginnis Way, Milton, GA 30004 Phone: 470-713-5889 | |
Mrs. Cason Wilson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 415 Darby Rd, Milton, GA 30004 Phone: 770-596-1786 |