| Ms Faith Louise Guadalupe, LCSW | |
|
110 Chess Chase, Fayetteville, GA 30215-4906 | |
| (770) 714-6204 | |
| Not Available |
| Full Name | Ms Faith Louise Guadalupe |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 110 Chess Chase, Fayetteville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306393277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW005826 (Georgia) | Primary |
| Entity Name | The Emory Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Faith Louise Guadalupe, LCSW 110 Chess Chase, Fayetteville, GA 30215-4906 Ph: (770) 714-6204 | Ms Faith Louise Guadalupe, LCSW 110 Chess Chase, Fayetteville, GA 30215-4906 Ph: (770) 714-6204 |
S. Bernard Bagley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 148 Georgia Ave E Ste C, Fayetteville, GA 30214 Phone: 404-968-4662 Fax: 404-968-4562 |
Kettely Jeanne Johnson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 510 Thatch Ter, Fayetteville, GA 30214 Phone: 470-471-5708 |
Bianca L Arnold, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1255 Highway 54 W, Fayetteville, GA 30214 Phone: 770-719-6827 |
Alphonso Mckibbins, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 170 Atkins Ln, Fayetteville, GA 30215 Phone: 678-670-5180 |
Ms. Iris Branch Cleveland, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 715 Bradley Dr, Fayetteville, GA 30214 Phone: 770-638-5252 Fax: 770-460-2463 |
Tara Michele Phillips, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3301 Cobblestone Blvd, Fayetteville, GA 30215 Phone: 770-756-9924 |
Othoniel Lopez, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 250 Georgia Ave E Unit 143122, Fayetteville, GA 30214 Phone: 470-696-5526 |