| Mr Jon Wayne Eccleston Ii, LCSW | |
|
124 Unionville Indian Trl Rd W, Suite A1, Indian Trail, NC 28079-5591 | |
| (704) 608-0445 | |
| (704) 821-9337 |
| Full Name | Mr Jon Wayne Eccleston Ii |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 25 Years |
| Location | 124 Unionville Indian Trl Rd W, Indian Trail, North Carolina |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306937750 | NPI | - | NPPES |
| C004734 | Other | NC | NC CLINICAL SOCIAL WORK |
| 600913 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C004734 (North Carolina) | Primary |
| Entity Name | Carolinas Therapy Solutions |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740463439 PECOS PAC ID: 5597996306 Enrollment ID: O20140320000364 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jon Wayne Eccleston Ii, LCSW 124 Unionville Indian Trl Rd W, Suite A1, Indian Trail, NC 28079-5591 Ph: (704) 608-0445 | Mr Jon Wayne Eccleston Ii, LCSW 124 Unionville Indian Trl Rd W, Suite A1, Indian Trail, NC 28079-5591 Ph: (704) 608-0445 |
Aubry Mcmahon, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5008 West St, Indian Trail, NC 28079 Phone: 980-275-1670 | |
Emma Rice, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 120 Unionville Indian Trail Rd W Ste B202, Indian Trail, NC 28079 Phone: 704-234-8003 | |
Lindelly Rajo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1009 Bikar Ct, Indian Trail, NC 28079 Phone: 707-787-6773 | |
Theodus Marques Roach, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 210 Postage Way #1772, Indian Trail, NC 28079 Phone: 980-338-5563 Fax: 704-228-0260 | |
Judith Marie Steverson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 120 Unionville Indian Trail Rd W Ste C100, Indian Trail, NC 28079 Phone: 704-438-9901 | |
Emily Kay Spangler, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 120 Unionville Indian Trail Rd W Ste C100, Indian Trail, NC 28079 Phone: 704-438-9901 | |
Ms. Beverly Jeanne Wright, LCSW, CASAC, CEAP Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2014 Old Evergreen Pkwy, Indian Trail, NC 28079 Phone: 631-423-6809 Fax: 631-423-8446 |