| Ms Colleen Rene Hannush, MSW, LCSW | |
|
123 Professional Park Dr, Ste 101, Mooresville, NC 28117-5516 | |
| (866) 588-0977 | |
| Not Available |
| Full Name | Ms Colleen Rene Hannush |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 18 Years |
| Location | 123 Professional Park Dr, Mooresville, North Carolina |
| 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 |
|---|---|---|---|
| 1669648515 | NPI | - | NPPES |
| 2853453 | Other | NC | MEDICARE PTAN |
| 6007431 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C006519 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eleanor Health Professional Nc Pllc | 5799017943 | 10 |
| Entity Name | Appalachian Counseling And Psychological Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700264058 PECOS PAC ID: 4880996792 Enrollment ID: O20160111000052 |
| Entity Name | Eleanor Health Professional Nc Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891349155 PECOS PAC ID: 5799017943 Enrollment ID: O20191022000310 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Colleen Rene Hannush, MSW, LCSW 123 Professional Park Dr, Ste 101, Mooresville, NC 28117-5516 Ph: (866) 588-0977 | Ms Colleen Rene Hannush, MSW, LCSW 123 Professional Park Dr, Ste 101, Mooresville, NC 28117-5516 Ph: (866) 588-0977 |
Latoya Camp Daniels, MSW, LSCW-A Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 363 Williamson Rd Ste 102, Mooresville, NC 28117 Phone: 704-664-7148 | |
Sara S Yang, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 170 Medical Park Rd Ste 207, Mooresville, NC 28117 Phone: 704-464-4102 | |
Jalessa Shanice Cherry, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 123 Professional Park Dr Ste 101, Mooresville, NC 28117 Phone: 704-749-9560 Fax: 833-918-2112 | |
Mr. Nicholas James Denny, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 134 Infield Ct, Mooresville, NC 28117 Phone: 704-799-6824 | |
Aubreigh Heisler, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 249 Williamson Rd Ste 102b, Mooresville, NC 28117 Phone: 705-650-4891 | |
Janice K. Marine, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 610 E Center Ave, Mooresville, NC 28115 Phone: 704-402-1060 Fax: 704-406-1065 | |
Elizabeth Cowan Hutcheson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 116 S Main St, Suite 202, Mooresville, NC 28115 Phone: 704-664-7084 |