| Ms Carrie Juanita Nelson, PHD, LICSW-PIP, MFT | |
|
4252 Carmichael Rd Ste 107-108, Montgomery, AL 36106-2804 | |
| (334) 356-4960 | |
| (334) 356-4961 |
| Full Name | Ms Carrie Juanita Nelson |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 41 Years |
| Location | 4252 Carmichael Rd Ste 107-108, Montgomery, Alabama |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932256328 | NPI | - | NPPES |
| 1932256328 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0759-1646-C (Alabama) | Secondary |
| 104100000X | Social Worker | 1646C (Alabama) | Primary |
| Entity Name | Haven Intergrative Therapy Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730602996 PECOS PAC ID: 8729336474 Enrollment ID: O20180813001358 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Carrie Juanita Nelson, PHD, LICSW-PIP, MFT 4252 Carmichael Rd Ste 107-108, Montgomery, AL 36106-2804 Ph: (334) 356-4960 | Ms Carrie Juanita Nelson, PHD, LICSW-PIP, MFT 4252 Carmichael Rd Ste 107-108, Montgomery, AL 36106-2804 Ph: (334) 356-4960 |
Mrs. Lauren Janzen Amacker, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 233 Winton Blount Loop, Montgomery, AL 36117 Phone: 334-341-5788 | |
Ms. Debra Fay Morris, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 215 Perry Hill Rd, Montgomery, AL 36109 Phone: 334-272-4670 Fax: 334-273-6294 | |
Ms. Brittany Leshell Borders, CMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 215 Perry Hill Rd, Montgomery, AL 36109 Phone: 334-272-4670 | |
Ashley Edwards, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 23 N California St, Montgomery, AL 36107 Phone: 404-805-3358 | |
Ms. Leigh Anne Fagin, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 7125 University Ct, Montgomery, AL 36117 Phone: 334-239-2622 | |
Linda Pena-resto, LISW-CP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 Twining St, Montgomery, AL 36112 Phone: 334-953-5055 | |
Miss Randi Certrina Hartsfield, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 215 Perry Hill Rd, Montgomery, AL 36109 Phone: 334-272-4670 Fax: 334-273-6294 |