| Mrs Jacrissa S Stevenson, LCSW | |
|
4750 Hartland Pkwy Ste 248, Lexington, KY 40515-1561 | |
| (859) 436-9618 | |
| (859) 201-1361 |
| Full Name | Mrs Jacrissa S Stevenson |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 4750 Hartland Pkwy Ste 248, Lexington, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629446760 | NPI | - | NPPES |
| 1790731081 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 7345 (Kentucky) | Secondary |
| 1041C0700X | Social Worker - Clinical | 254354 (Kentucky) | Primary |
| Entity Name | Hopeful Therapy Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538875638 PECOS PAC ID: 2567827314 Enrollment ID: O20230429000281 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jacrissa S Stevenson, LCSW 1152 Stonecrop Dr, Lexington, KY 40509-9054 Ph: (859) 533-4470 | Mrs Jacrissa S Stevenson, LCSW 4750 Hartland Pkwy Ste 248, Lexington, KY 40515-1561 Ph: (859) 436-9618 |
Mr. Adam Lynn Spencer, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1101 Veterans Dr, Lexington, KY 40502 Phone: 859-233-4511 Fax: 859-281-4810 | |
Kenneth Edward Wilson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2250 Leestown Rd, Lexington, KY 40511 Phone: 859-233-4511 Fax: 859-281-3823 | |
Mr. James C. Moore, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1101 Veterans Dr, 29-1-ld, Lexington, KY 40502 Phone: 859-281-3949 Fax: 859-281-3952 | |
Demetruis Renee Watson, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1412 N Broadway Ste 204, Lexington, KY 40505 Phone: 859-412-1445 | |
Leeann Hayslett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 478 Stonehaven Dr, Lexington, KY 40505 Phone: 859-576-9656 | |
Wendy Ann Klaine, LCSW, LCADCA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1374 Bull Lea Rd, Lexington, KY 40511 Phone: 859-977-2501 | |
Keeley Chaffin, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 635 Maxwelton Court, Lexington, KY 40508 Phone: 859-252-1939 |