Kimberlee Lockwood Cannon, LISW-CP | |
2711 Colonial Dr, Columbia, SC 29203-6818 | |
(803) 726-9460 | |
Not Available |
Full Name | Kimberlee Lockwood Cannon |
---|---|
Gender | Female |
Speciality | Social Worker |
Location | 2711 Colonial Dr, Columbia, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538517248 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
104100000X | Social Worker | 11700 (South Carolina) | Primary |
Entity Name | Lexington Richland Alcohol & Drug Abuse Council, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538153069 PECOS PAC ID: 3577643170 Enrollment ID: O20171211002777 |
Mailing Address | Practice Location Address |
---|---|
Kimberlee Lockwood Cannon, LISW-CP 2711 Colonial Dr, Columbia, SC 29203-6818 Ph: () - | Kimberlee Lockwood Cannon, LISW-CP 2711 Colonial Dr, Columbia, SC 29203-6818 Ph: (803) 726-9460 |
Mr. Craig Mathew Lombardi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4500 8th Division Rd # 7-20, Columbia, SC 29207 Phone: 803-751-2165 | |
Ashley Douglas, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: Sc House Calls Inc., 111 Doctors Cir., Columbia, SC 29203 Phone: 800-491-0909 | |
Martrisha Rodriguez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 113 Executive Pointe Blvd Ste 104, Columbia, SC 29210 Phone: 855-284-7483 | |
Mr. Addison Ronald Richardson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5000 Broad River Rd, Columbia, SC 29212 Phone: 803-896-9421 Fax: 803-896-9588 | |
Jacqueline Hartley Dunning, LISW-CP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4500 8th Division Rd, Columbia, SC 29207 Phone: 803-751-3005 | |
Robert Shawn Diggs, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6439 Garners Ferry Rd, Columbia, SC 29209 Phone: 803-776-4000 | |
Paige Roberts, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6439 Garners Ferry Rd, Columbia, SC 29209 Phone: 803-776-4000 |