| Mr Kelly Jay Poole, LCSW | |
|
4270 Heath Dairy Rd, Randleman, NC 27317-7489 | |
| (336) 495-2700 | |
| (336) 495-5552 |
| Full Name | Mr Kelly Jay Poole |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 4270 Heath Dairy Rd, Randleman, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760419725 | NPI | - | NPPES |
| 6002280 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C001120 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kelly Jay Poole, LCSW Po Box 814, Randleman, NC 27317-0814 Ph: (336) 495-2700 | Mr Kelly Jay Poole, LCSW 4270 Heath Dairy Rd, Randleman, NC 27317-7489 Ph: (336) 495-2700 |
Ms. Greta Lois Mccullom Hawthorne, CMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4270 Health Dairy Rd, Randleman, NC 27317 Phone: 336-495-2700 Fax: 336-495-5552 | |
Wysheka Glover, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1324 Coltrane Mill Rd, Randleman, NC 27317 Phone: 336-674-6293 | |
Mr. Carter Lee Shotwell, LCSW-A Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1324 Coltrane Mill Rd, Randleman, NC 27317 Phone: 336-674-6293 |