| Mrs Annie R Brock, LMSW | |
|
525 N Lafayette Dr, Sumter, SC 29150-4347 | |
| (803) 775-6293 | |
| (803) 775-7593 |
| Full Name | Mrs Annie R Brock |
|---|---|
| Gender | Female |
| Speciality | Social Worker |
| Location | 525 N Lafayette Dr, Sumter, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518156314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 8922 (South Carolina) | Secondary |
| 104100000X | Social Worker | 8922 (South Carolina) | Primary |
| Entity Name | Tandem Health Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386630192 PECOS PAC ID: 3870575855 Enrollment ID: O20040603000514 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Annie R Brock, LMSW 1278 N. Lafayette Drive, Sumter, SC 29150-2964 Ph: (803) 774-4500 | Mrs Annie R Brock, LMSW 525 N Lafayette Dr, Sumter, SC 29150-4347 Ph: (803) 775-6293 |
Mr. Jerry Lee Allred Jr., LISW-CP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11 Crosswell Dr, Sumter, SC 29150 Phone: 803-803-6511 | |
Carline Verona Samuels, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 801 N Pike W, Sumter, SC 29153 Phone: 803-775-7898 Fax: 803-773-5246 | |
Willie Bethune, LISW CP & AP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 410 W Liberty St, #201, Sumter, SC 29150 Phone: 803-774-4377 | |
Mrs. Karen Duncan Page, LISW-CP/S Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1278 N Lafayette Dr, Sumter, SC 29150 Phone: 803-774-4500 Fax: 803-774-4627 | |
Julie S. Watts, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 215 N Magnolia St, Sumter, SC 29150 Phone: 803-775-9364 | |
Hannah Elisabeth Simms, LISW-CP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3260 Royal Colwood Ct, Sumter, SC 29150 Phone: 803-968-2321 | |
Dominic Simon, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 610 E Liberty St, Sumter, SC 29153 Phone: 803-225-6441 |