| Lionel J Smith, | |
|
5292 Deep Springs Dr, Stone Mountain, GA 30087-3623 | |
| (951) 816-1686 | |
| Not Available |
| Full Name | Lionel J Smith |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 5292 Deep Springs Dr, Stone Mountain, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003319740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW007482 (Georgia) | Primary |
| Entity Name | Capstone Hospice, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598134975 PECOS PAC ID: 0749585784 Enrollment ID: O20200818003657 |
| Entity Name | Grow Healthcare Group PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220315000829 |
| Mailing Address | Practice Location Address |
|---|---|
| Lionel J Smith, 445 Winn Way, Decatur, GA 30030-1707 Ph: Not Available | Lionel J Smith, 5292 Deep Springs Dr, Stone Mountain, GA 30087-3623 Ph: (951) 816-1686 |
Ms. Barbara Mosley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 590 N Hairston Rd, Stone Mountain, GA 30083 Phone: 904-418-0006 |
Shundra Burnes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 925 Main St Ste 300-50, Stone Mountain, GA 30083 Phone: 404-416-3547 Fax: 470-867-6898 |
Sierra Bloxson, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 5100 W Mountain St Apt N301, Stone Mountain, GA 30083 Phone: 678-559-9128 |
Mupenzi Evans Safari, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1304 Old Countryside Cir W, Stone Mountain, GA 30083 Phone: 404-578-5096 |
Mrs. Karria James, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5115 Chastleton Dr, Stone Mountain, GA 30087 Phone: 404-207-9359 |
Sonya Thomas, RN, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1087 Erie Cir, Stone Mountain, GA 30087 Phone: 404-308-9100 Fax: 404-393-9011 |
Ms. Keldrin Ford, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1555 Butternut Cv, Stone Mountain, GA 30083 Phone: 253-820-4275 |