| Mr Darryl Lamar Brooks Jr, LCSWA | |
|
230 S Jackson St Ste 219, Albany, GA 31701-2888 | |
| (229) 894-1980 | |
| Not Available |
| Full Name | Mr Darryl Lamar Brooks Jr |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 230 S Jackson St Ste 219, Albany, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346761269 | NPI | - | NPPES |
| 5781587 | Other | GA | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW008073 (Georgia) | Primary |
| Entity Name | Viaduct Health, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962177964 PECOS PAC ID: 3870983935 Enrollment ID: O20240311003116 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Darryl Lamar Brooks Jr, LCSWA Po Box 6165, Albany, GA 31706-6165 Ph: (229) 894-1980 | Mr Darryl Lamar Brooks Jr, LCSWA 230 S Jackson St Ste 219, Albany, GA 31701-2888 Ph: (229) 894-1980 |
Mrs. Ngina Omolade Mandouma, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 229-733-2429 | |
Ms. Claire Banister, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1906 Forest Glen Dr, Albany, GA 31707 Phone: 229-435-6146 Fax: 229-435-6146 | |
Lisha Jones, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 111 Westcott Ln, Albany, GA 31721 Phone: 229-349-3728 | |
Martha Mixon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 229-312-7001 Fax: 229-312-7006 | |
Alicia Wiggins Murphy, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 139 Alachua Ln, Albany, GA 31707 Phone: 229-310-3033 | |
Mrs. Ricketta Yarbrough Mccoy, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2908 Harvest Ln, Albany, GA 31721 Phone: 229-869-9524 | |
Mary Katherine Wanner, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2500 Dawson Rd Ste 101, Albany, GA 31707 Phone: 229-430-5100 |