| Leandria Nichelle Bivens, LISW-CP | |
|
999 Cheraw St, Bennettsville, SC 29512-2420 | |
| (843) 479-2341 | |
| Not Available |
| Full Name | Leandria Nichelle Bivens |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 999 Cheraw St, Bennettsville, 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 |
|---|---|---|---|
| 1952944969 | NPI | - | NPPES |
| LW1103 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 15823 (South Carolina) | Primary |
| Entity Name | Caresouth Carolina Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720082571 PECOS PAC ID: 1052221314 Enrollment ID: O20040511000280 |
| Mailing Address | Practice Location Address |
|---|---|
| Leandria Nichelle Bivens, LISW-CP Po Box 1090, Hartsville, SC 29551-1090 Ph: () - | Leandria Nichelle Bivens, LISW-CP 999 Cheraw St, Bennettsville, SC 29512-2420 Ph: (843) 479-2341 |
Ms. Mary R Rogers, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1035 Charaw Hwy, Tri County Mental Health, Bennettsville, SC 29512 Phone: 843-454-0442 Fax: 843-454-0212 | |
Ms. Janice Ann Rozier, MSW LISW ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1035 Cheraw Hwy, Bennettsville, SC 29072 Phone: 843-454-0841 Fax: 843-454-0635 |