| Mr Jared Stewart Roe, LCSW | |
|
940b Gilbert Ferry Rd Se, Attalla, AL 35954-3338 | |
| (256) 579-6011 | |
| (256) 302-8046 |
| Full Name | Mr Jared Stewart Roe |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 18 Years |
| Location | 940b Gilbert Ferry Rd Se, Attalla, Alabama |
| 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 |
|---|---|---|---|
| 1114270998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 7818 (Tennessee) | Secondary |
| 1041C0700X | Social Worker - Clinical | 2376C (Alabama) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Perkins-janicek Psychiatric Group, Pllc | 9739623729 | 6 |
| Entity Name | River Region Psychiatry Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386891497 PECOS PAC ID: 1254491012 Enrollment ID: O20200616000462 |
| 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: O20221116002565 |
| Entity Name | Perkins-janicek Psychiatric Group, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992575203 PECOS PAC ID: 9739623729 Enrollment ID: O20240701004138 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jared Stewart Roe, LCSW 2160 Fountain Dr, Snellville, GA 30078-7022 Ph: (770) 985-6473 | Mr Jared Stewart Roe, LCSW 940b Gilbert Ferry Rd Se, Attalla, AL 35954-3338 Ph: (256) 579-6011 |
Amber Thomas, LICSW PIP Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 306 7th Ave Nw, Attalla, AL 35954 Phone: 205-559-1197 | |
Mrs. Jenia Fowler, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 425 5th Ave Nw, Attalla, AL 35954 Phone: 256-492-7800 Fax: 256-494-5536 |