| Ms Antoinette C Sanders, LISW-CP | |
|
1341 N Limestone St, Gaffney, SC 29340-4733 | |
| (864) 514-1011 | |
| Not Available |
| Full Name | Ms Antoinette C Sanders |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1341 N Limestone St, Gaffney, 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 |
|---|---|---|---|
| 1104469113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 15419 (South Carolina) | Primary |
| Entity Name | Regenesis Organization Community Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194710426 PECOS PAC ID: 8022928001 Enrollment ID: O20050127000120 |
| Entity Name | Regenesis Organization Community Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548528714 PECOS PAC ID: 8022928001 Enrollment ID: O20160816002916 |
| Entity Name | Regenesis Organization Community Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457745952 PECOS PAC ID: 8022928001 Enrollment ID: O20170127000968 |
| Entity Name | Regenesis Organization Community Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982248852 PECOS PAC ID: 8022928001 Enrollment ID: O20210120001241 |
| Entity Name | Regenesis Organization Community Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558946376 PECOS PAC ID: 8022928001 Enrollment ID: O20220630000562 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Antoinette C Sanders, LISW-CP Po Box 5158, Spartanburg, SC 29304-5158 Ph: (864) 582-2411 | Ms Antoinette C Sanders, LISW-CP 1341 N Limestone St, Gaffney, SC 29340-4733 Ph: (864) 514-1011 |
Miss Briana Marie Dellasala, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 125 E Robinson St, Gaffney, SC 29340 Phone: 864-487-2710 |