| Mr Michael Gene Gipson, LCSW | |
|
4508 Stadium Blvd, Jonesboro, AR 72404-9675 | |
| (870) 933-6886 | |
| (870) 933-9395 |
| Full Name | Mr Michael Gene Gipson |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 33 Years |
| Location | 4508 Stadium Blvd, Jonesboro, Arkansas |
| 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 |
|---|---|---|---|
| 1821024704 | NPI | - | NPPES |
| 5W419 | Other | AR | BLUE CROSS NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Theracounsel, Inc. | 0143206466 | 14 |
| Entity Name | Theracounsel, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457460339 PECOS PAC ID: 0143206466 Enrollment ID: O20040628000603 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael Gene Gipson, LCSW 4508 Stadium Blvd, Jonesboro, AR 72404-9675 Ph: (870) 933-6886 | Mr Michael Gene Gipson, LCSW 4508 Stadium Blvd, Jonesboro, AR 72404-9675 Ph: (870) 933-6886 |
Angela Christine Smith, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 615 E Matthews Ave, Jonesboro, AR 72401 Phone: 870-930-9090 | |
Miss Anna Gatlin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4508 Stadium Blvd, Jonesboro, AR 72404 Phone: 870-933-6886 Fax: 870-933-9395 | |
Kelli Leann Statler, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2707 Browns Ln, Jonesboro, AR 72401 Phone: 870-972-4939 Fax: 870-972-4911 | |
Destiny Mcgee, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2707 Browns Ln, Jonesboro, AR 72401 Phone: 870-972-4000 Fax: 870-972-4968 | |
Malory Paige Slater, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4802 E Johnson Ave, Jonesboro, AR 72405 Phone: 870-936-8000 Fax: 870-934-3649 | |
Ruth Ann Carpenter, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2707 Browns Ln, Jonesboro, AR 72401 Phone: 870-972-4939 Fax: 870-972-4911 | |
Deborah Grace Eberwein, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 411 Calvary Cv, Jonesboro, AR 72401 Phone: 870-761-8247 |