| Mr Michael Ham, MSW | |
|
867 Mill Cove Dr, Lawrenceville, GA 30045-6591 | |
| (808) 895-1584 | |
| Not Available |
| Full Name | Mr Michael Ham |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 867 Mill Cove Dr, Lawrenceville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154405389 | NPI | - | NPPES |
| 03165395 | Medicaid | NY |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20230120000933 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael Ham, MSW 867 Mill Cove Dr, Lawrenceville, GA 30045-6591 Ph: (808) 895-1584 | Mr Michael Ham, MSW 867 Mill Cove Dr, Lawrenceville, GA 30045-6591 Ph: (808) 895-1584 |
Miss Opal Hope Minott, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1083 Simonton Hill Ct, Lawrenceville, GA 30045 Phone: 770-375-0479 Fax: 678-985-4228 | |
Ms. Tomekia Holandia Raines, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 270 W Oak St Ste 2, Lawrenceville, GA 30046 Phone: 770-866-1060 | |
Akisha Miller, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 888 Legacy Park Dr Ste 301, Lawrenceville, GA 30043 Phone: 855-284-7483 Fax: 617-807-0958 | |
Natali Nelson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1760 Lakes Pkwy Unit 4416, Lawrenceville, GA 30043 Phone: 413-427-3627 | |
Ms. Jasmine Denise Williams, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2229 Oakland Downs Way, Lawrenceville, GA 30044 Phone: 850-524-9069 | |
Ms. Jacklyn J Montero, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 175 Gwinnett Dr, Lawrenceville, GA 30045 Phone: 770-339-5377 Fax: 770-339-5016 | |
Shawntasia Daughtry, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 175 Gwinnett Dr, Lawrenceville, GA 30046 Phone: 678-209-2394 |