Mark Darrell Driskill, LCSW | |
4126 Autumn Ln, Vestavia, AL 35243-5209 | |
(205) 612-0260 | |
Not Available |
Full Name | Mark Darrell Driskill |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 4126 Autumn Ln, Vestavia, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578780219 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2187C-0923 (Alabama) | Primary |
Entity Name | Collat Jewish Family Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629280508 PECOS PAC ID: 3870554496 Enrollment ID: O20041026000642 |
Mailing Address | Practice Location Address |
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Mark Darrell Driskill, LCSW 3448 Crossings Way, Birmingham, AL 35242-4457 Ph: () - | Mark Darrell Driskill, LCSW 4126 Autumn Ln, Vestavia, AL 35243-5209 Ph: (205) 612-0260 |
Kimberly S Williams, LPC, NCC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4268 Cahaba Heights Ct, Suite 166, Vestavia, AL 35243 Phone: 205-586-5964 | |
Ms. Lucy Caroline Nichols, LCSW, PIP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4126 Autumn Ln, Vestavia, AL 35243 Phone: 205-515-7784 | |
Chris Cargile, LICSW, PIP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 Vestavia Pkwy Ste 3900, Vestavia, AL 35216 Phone: 334-524-8491 | |
Hannah Eiselin, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2700 Altadena Rd, Vestavia, AL 35243 Phone: 205-419-9324 | |
Clayton Daniel Hightower, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4126 Autumn Ln, Vestavia, AL 35243 Phone: 205-967-3277 | |
Janelle Jensen Fritz, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4126 Autumn Ln, Vestavia, AL 35243 Phone: 205-967-3277 |