Mr Allen Kerrie Gholston, LCSW in Olive Branch, MS - Medicare Clinical Social Worker Provider

Mr Allen Kerrie Gholston, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Olive Branch, Mississippi. He graduated from medical school in 2001 and has 25 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Right Track Medical Group, Inc, Iac Associates Pllc and his current practice location is 9035 E Sandidge Rd Ste 201, Olive Branch, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 234-7601.

Mr Allen Kerrie Gholston is licensed to practice in Mississippi (license number C-10110) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1548380991.

Contact Information

	Mr Allen Kerrie Gholston, LCSW
	9035 E Sandidge Rd Ste 201, Olive Branch, MS 38654-3563
	(662) 234-7601
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Allen Kerrie Gholston
Gender	Male
Speciality	Clinical Social Worker
Experience	25 Years
Location	9035 E Sandidge Rd Ste 201, Olive Branch, Mississippi
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Allen Kerrie Gholston graduated from medical school in 2001

NPI Data:

NPI Number: 1548380991
Provider Enumeration Date: 03/30/2007
Last Update Date: 04/13/2026

Medicare PECOS Information:

PECOS PAC ID: 4981963394
Enrollment ID: I20250910002600

Medical Identifiers

Medical identifiers for Mr Allen Kerrie Gholston such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548380991	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	C-10110 (Mississippi)	Primary
101YM0800X	Counselor - Mental Health	0000005776 (Tennessee)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Right Track Medical Group, Inc	8729403415	29
Iac Associates Pllc	5496181133	2

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Allen Kerrie Gholston is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Allen Kerrie Gholston, LCSW 1030 Jefferson Ave, Memphis, TN 38104-2127 Ph: (901) 523-8990	Mr Allen Kerrie Gholston, LCSW 9035 E Sandidge Rd Ste 201, Olive Branch, MS 38654-3563 Ph: (662) 234-7601

Reviews and Comments

Social Worker in Olive Branch, MS

Tessica C. Boney, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10282 Hyman Dr, Olive Branch, MS 38654 Phone: 662-210-0203
Alicia Nicole Danley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6029 Coleman Rd, Olive Branch, MS 38654 Phone: 662-822-7867
Tricia Stephens Hopson, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 6855 Crumpler Blvd Ste 201, Olive Branch, MS 38654 Phone: 662-645-2238
Mrs. Lisa Ann Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1055 Upchurch Dr, Olive Branch, MS 38654 Phone: 901-603-1444
Kenneth Carl Mitten, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6810 Crumpler Blvd, Suite 303, Olive Branch, MS 38654 Phone: 901-483-9548 Fax: 662-890-0622
Loreal Walker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Po Box 572, Olive Branch, MS 38654 Phone: 248-284-3229
Angelica Lucas, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10634 Three Wishes Dr, Olive Branch, MS 38654 Phone: 901-406-6705

Mr Allen Kerrie Gholston, LCSW - Medicare Clinical Social Worker in Olive Branch, MS