| Maria J Knickerbocker, LCSW | |
|
118 College Dr # 5163, Hattiesburg, MS 39406-0001 | |
| (601) 266-5163 | |
| (601) 266-5114 |
| Full Name | Maria J Knickerbocker |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 27 Years |
| Location | 118 College Dr # 5163, Hattiesburg, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689863359 | NPI | - | NPPES |
| 00675504 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C6975 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Rural Outreach Center Inc | 6002226602 | 2 |
| Entity Name | The Rural Outreach Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891311965 PECOS PAC ID: 6002226602 Enrollment ID: O20201111000659 |
| Mailing Address | Practice Location Address |
|---|---|
| Maria J Knickerbocker, LCSW 118 College Dr # 5163, Hattiesburg, MS 39406-0001 Ph: (601) 266-5163 | Maria J Knickerbocker, LCSW 118 College Dr # 5163, Hattiesburg, MS 39406-0001 Ph: (601) 266-5163 |
Paula G Hand, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14 Spears Dr, Hattiesburg, MS 39402 Phone: 601-264-2490 | |
Riley Herrin, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 516 W Laurel Ave, Hattiesburg, MS 39401 Phone: 601-606-0561 | |
Michelle E Howard, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 66 Old Airport Rd, Hattiesburg, MS 39401 Phone: 601-544-7500 Fax: 601-544-7524 | |
Marian Allen, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4100 Mamie St, Hattiesburg, MS 39402 Phone: 601-705-1906 | |
Mrs. Ava Marie Gunn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6737 U S Highway 98, Hattiesburg, MS 39402 Phone: 601-408-7376 | |
Billie Michelle Brazeal, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-579-3300 Fax: 601-268-5738 | |
Ms. Tara Fulton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 707 Corinne St, Hattiesburg, MS 39401 Phone: 601-408-6284 |