| Mr Bradley Edward Kornegay, MSW, LCSW, LCAS | |
|
925 Conference Dr, Suite D, Greenville, NC 27858-5971 | |
| (252) 412-3207 | |
| Not Available |
| Full Name | Mr Bradley Edward Kornegay |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 14 Years |
| Location | 925 Conference Dr, Greenville, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811235989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C009346 (North Carolina) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS -2786 (North Carolina) | Secondary |
| Entity Name | New Hope Counseling Services Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912275694 PECOS PAC ID: 6103092028 Enrollment ID: O20111227000379 |
| Entity Name | Bradley Kornegay Lcsw Lcas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225422686 PECOS PAC ID: 6800207036 Enrollment ID: O20201119001811 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Bradley Edward Kornegay, MSW, LCSW, LCAS Po Box 2899, Greenville, NC 27836-0899 Ph: (252) 412-3201 | Mr Bradley Edward Kornegay, MSW, LCSW, LCAS 925 Conference Dr, Suite D, Greenville, NC 27858-5971 Ph: (252) 412-3207 |
Whitney Shante Jones, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 211 W 14th St Ste C, Greenville, NC 27834 Phone: 252-406-7468 | |
Mr. Sean Pumphrey, MSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1204 E Fire Tower Rd, Greenville, NC 27858 Phone: 252-744-1122 Fax: 252-744-1133 | |
Mrs. Misty West Marshburn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 124 W Victoria Ct Apt B, Greenville, NC 27834 Phone: 252-327-0988 | |
Sarah Davis Franklin, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 401 Moye Blvd, Greenville, NC 27834 Phone: 252-830-2149 | |
Elizabeth Keais Liles, MSW, LCAS-A Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1704 E Arlington Blvd Ste B, Greenville, NC 27858 Phone: 252-756-4899 | |
Mrs. Kathy Schutz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 702 Cromwell Dr, Suite G, Greenville, NC 27858 Phone: 252-714-1755 | |
Alicia N. Woods, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 905 Johns Hopkins Dr, Greenville, NC 27834 Phone: 252-744-1406 Fax: 252-744-4243 |