| Mrs Sheena Blake Gaddis, MSW, LCSW, LISW-CP | |
|
1229 38th Ave N # 207, Myrtle Beach, SC 29577 | |
| (910) 321-8817 | |
| Not Available |
| Full Name | Mrs Sheena Blake Gaddis |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1229 38th Ave N # 207, Myrtle Beach, 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 |
|---|---|---|---|
| 1235452772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C010430 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | 12344 (South Carolina) | Primary |
| Entity Name | Coastal Haven Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609314293 PECOS PAC ID: 2365877008 Enrollment ID: O20200127001494 |
| Entity Name | Brightside Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20230608002286 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Sheena Blake Gaddis, MSW, LCSW, LISW-CP 1229 38th Ave N # 207, Myrtle Beach, SC 29577-1313 Ph: (843) 804-8200 | Mrs Sheena Blake Gaddis, MSW, LCSW, LISW-CP 1229 38th Ave N # 207, Myrtle Beach, SC 29577 Ph: (910) 321-8817 |
Marcy Ann Cates, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1101 Johnson Ave Ste 204, Myrtle Beach, SC 29577 Phone: 843-477-0177 | |
Mr. Phillip Fleckenstein, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6215 Highway 707, Myrtle Beach, SC 29588 Phone: 843-273-0077 Fax: 843-273-0075 | |
Alyssa Joy Caggiano, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 630 Chestnut Rd, Myrtle Beach, SC 29572 Phone: 843-945-1452 | |
Mr. Kenneth Thomas Cappuccio, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2195 Haystack Way, Myrtle Beach, SC 29579 Phone: 908-447-2913 | |
Ms. Tracy L. Freeman, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5020 Vinesia Dr, Myrtle Beach, SC 29579 Phone: 860-620-7197 | |
Mr. John Anthony Roman Ii, LISW-CP Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 917 Broadway St Ste 3, Myrtle Beach, SC 29577 Phone: 843-582-7887 Fax: 843-800-0061 | |
Lynn Ann Repasky, MSSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1101 Johnson Ave # 134d, Myrtle Beach, SC 29577 Phone: 843-232-2435 |