| Marissa Lairsey, | |
|
189 N Brunswick St, Jesup, GA 31546-4377 | |
| (912) 530-8889 | |
| Not Available |
| Full Name | Marissa Lairsey |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 189 N Brunswick St, Jesup, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194570747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Georgia) | Primary |
| Entity Name | Anchored In Wellness, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174996847 PECOS PAC ID: 5890078810 Enrollment ID: O20170216001208 |
| Mailing Address | Practice Location Address |
|---|---|
| Marissa Lairsey, 126 Hill St, Hoboken, GA 31542-3338 Ph: (912) 614-6559 | Marissa Lairsey, 189 N Brunswick St, Jesup, GA 31546-4377 Ph: (912) 530-8889 |
Paulette Parker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1520 W Cherry St, Jesup, GA 31545 Phone: 912-294-2900 | |
Kathleen Deal Tatum, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 296 Turpentine Cir, Jesup, GA 31545 Phone: 912-424-6134 | |
Hannah Brooke Evors, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 311 E Cherry St, Jesup, GA 31546 Phone: 912-530-8889 | |
Ariel Scherer, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 256 W Walnut St, Jesup, GA 31545 Phone: 912-480-6070 | |
Shauna Mattingly, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1520 W Cherry St, Jesup, GA 31545 Phone: 912-286-2423 | |
Porche Lashoade Corley, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1240 S 1st St, Jesup, GA 31545 Phone: 912-421-9794 |