| Mr Michael Antoine Boulware, LCSW | |
|
276 Old Mocksville Rd Ste 100, Statesville, NC 28625-1951 | |
| (704) 360-3637 | |
| (980) 939-8770 |
| Full Name | Mr Michael Antoine Boulware |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 4 Years |
| Location | 276 Old Mocksville Rd Ste 100, Statesville, 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 |
|---|---|---|---|
| 1619689825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | P018428 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Integrative Wellness Solutions Pllc | 8022341494 | 136 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael Antoine Boulware, LCSW 276 Old Mocksville Rd Ste 100, Statesville, NC 28625-1951 Ph: (704) 360-3637 | Mr Michael Antoine Boulware, LCSW 276 Old Mocksville Rd Ste 100, Statesville, NC 28625-1951 Ph: (704) 360-3637 |
Megann E Grace-sanchez, MSW, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 913 N Carolina Ave, Statesville, NC 28677 Phone: 704-871-0934 | |
Ms. Sue Ann Bingham Brown, MSW, LCSW, PIP Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 276 Old Mocksville Rd Ste 100, Statesville, NC 28625 Phone: 704-317-2931 | |
Katherine Ashe Roethling, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1450 Fern Creek Dr, Statesville, NC 28625 Phone: 704-237-4240 | |
Khori Dyneikka Hamlet, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1022 Shelton Ave, Statesville, NC 28677 Phone: 704-838-1234 Fax: 704-768-2081 | |
Felix Alberto Colon Velez Jr., LCSW, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 913 N Carolina Ave, Statesville, NC 28677 Phone: 704-873-1114 | |
Ketwan Kareem Graham, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 474 N Center St, Statesville, NC 28677 Phone: 704-873-3491 | |
Janiyah Renee Moore, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1450 Fern Creek Dr, Statesville, NC 28625 Phone: 704-818-9191 |