| Mary Candace Gladney, LCSW | |
|
275 Country Club Dr, Stockbridge, GA 30281-7349 | |
| (770) 474-8400 | |
| Not Available |
| Full Name | Mary Candace Gladney |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 275 Country Club Dr, Stockbridge, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902536469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW008121 (Georgia) | Primary |
| 104100000X | Social Worker | I.2507089 (Ohio) | Secondary |
| Entity Name | Personal Recovery Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20120110000096 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Candace Gladney, LCSW 213 Expedition Dr, Ellenwood, GA 30294-2276 Ph: (678) 216-8692 | Mary Candace Gladney, LCSW 275 Country Club Dr, Stockbridge, GA 30281-7349 Ph: (770) 474-8400 |
Rashonda L Clay-douthit, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 611 Chariot Ct, Stockbridge, GA 30281 Phone: 678-270-7235 | |
Dara Charpentier, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 568 Ransom Way, Stockbridge, GA 30281 Phone: 404-391-1782 Fax: 404-391-1782 | |
Devesea Tatum, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 255 Corporate Center Dr Ste C, Stockbridge, GA 30281 Phone: 678-478-2937 | |
Shakirah Morgan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 123 Eagles Landing Pkwy, Stockbridge, GA 30281 Phone: 404-446-0300 | |
Mrs. Olga V. Jantzer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3580 Cameron Pkwy, Stockbridge, GA 30281 Phone: 678-565-6228 | |
Mrs. Dawn P Kentish Bennett, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 297 Ironwood Dr, Stockbridge, GA 30281 Phone: 401-743-0408 | |
Toshi Shareef, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 70 Chimney Smoke Dr, Stockbridge, GA 30281 Phone: 678-886-8573 |