| Mary Gerideau, LCSW-A | |
|
2003 Godwin Ave, Suite C, Lumberton, NC 28358-3149 | |
| (910) 674-4814 | |
| Not Available |
| Full Name | Mary Gerideau |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 2003 Godwin Ave, Lumberton, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619330453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | P010229 (North Carolina) | Primary |
| Entity Name | Optum Behavioral Care Of North Carolina Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629843933 PECOS PAC ID: 5092120030 Enrollment ID: O20210224002078 |
| Entity Name | Carelon Behavioral Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053894790 PECOS PAC ID: 6608113477 Enrollment ID: O20240807000652 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Gerideau, LCSW-A 2003 Godwin Ave, Suite C, Lumberton, NC 28358-3149 Ph: (910) 674-4814 | Mary Gerideau, LCSW-A 2003 Godwin Ave, Suite C, Lumberton, NC 28358-3149 Ph: (910) 674-4814 |
Marissa Cox, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4906 Pinedale Blvd, Lumberton, NC 28358 Phone: 910-258-1963 | |
Courtney Jackson, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3581 Lackey St, Lumberton, NC 28360 Phone: 910-738-5023 Fax: 910-738-1451 | |
Oscar Joel Rogers, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 661 Burns Rd, Lumberton, NC 28358 Phone: 910-738-5545 | |
Mrs. Lekeesha Shauntier Robinson, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 800 N Walnut St, Lumberton, NC 28358 Phone: 910-739-3064 | |
Mrs. Stefanie Lambert, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 711 N Cedar St, Lumberton, NC 28358 Phone: 910-738-9973 | |
Miss Shonda Wilson, LCSW-A Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 402 N Pine St, Lumberton, NC 28358 Phone: 910-739-1666 Fax: 910-739-6822 | |
Joyce R Lane, LCSW-A Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3581 Lackey St, Lumberton, NC 28360 Phone: 910-738-5023 Fax: 910-738-1451 |