| Mona Razzak Balooch, | |
|
1703 Sulgrave Rd, Charleston, SC 29414-5936 | |
| (818) 770-0088 | |
| Not Available |
| Full Name | Mona Razzak Balooch |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1703 Sulgrave Rd, Charleston, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023294204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 89163 (California) | Primary |
| Entity Name | Supportive Care Of South Carolina Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417681412 PECOS PAC ID: 7618352451 Enrollment ID: O20220915001319 |
| Mailing Address | Practice Location Address |
|---|---|
| Mona Razzak Balooch, 1703 Sulgrave Rd, Charleston, SC 29414-5936 Ph: (818) 770-0088 | Mona Razzak Balooch, 1703 Sulgrave Rd, Charleston, SC 29414-5936 Ph: (818) 770-0088 |
Andrea Claire D'andrea, MSW LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4 Carriage Ln, Suite 203-b, Charleston, SC 29407 Phone: 843-810-6747 | |
Renea Brown Bligen, LISW-CP/S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 109 Bee St, Charleston, SC 29401 Phone: 843-577-5011 | |
Miss Raven Neal, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 109 Bee St, Charleston, SC 29401 Phone: 843-789-7311 | |
Catherine Quast Nelson, PHD LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3129 W Montague Ave, Charleston, SC 29418 Phone: 843-577-5011 | |
Mr. Joshua Martin Hillie, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Riley Alexandra Nikolychik, LISW-CP Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 67 President St, Charleston, SC 29425 Phone: 843-792-0224 |