| Ms Nora Rebecca Lewis, LCSW | |
|
201 New Bridge St, Suite 208, Jacksonville, NC 28540-4736 | |
| (910) 934-7042 | |
| (910) 333-9742 |
| Full Name | Ms Nora Rebecca Lewis |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 201 New Bridge St, Jacksonville, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740381102 | NPI | - | NPPES |
| 6002960 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C004395 (North Carolina) | Primary |
| Entity Name | Second Chance Behavioral Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205341112 PECOS PAC ID: 2961836408 Enrollment ID: O20191217000301 |
| Entity Name | Hakuna Wellness Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689217564 PECOS PAC ID: 7517377633 Enrollment ID: O20201031000055 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Nora Rebecca Lewis, LCSW 201 New Bridge St, Suite 208, Jacksonville, NC 28540-4736 Ph: (910) 934-7042 | Ms Nora Rebecca Lewis, LCSW 201 New Bridge St, Suite 208, Jacksonville, NC 28540-4736 Ph: (910) 934-7042 |
Jessica Smith, MSW,LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 215 Memorial Dr, Jacksonville, NC 28546 Phone: 910-353-5118 | |
Amanda Ashley Manning, LCSW-A Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 Tarpon Trl, Jacksonville, NC 28546 Phone: 910-938-1114 Fax: 910-938-1118 | |
Elise Cowart, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 445 Western Blvd Ste Q, Jacksonville, NC 28546 Phone: 910-858-5848 | |
Portia Adams, LCSW-A Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 110 Branchwood Dr Ste B, Jacksonville, NC 28546 Phone: 910-938-9833 | |
Ms. Tatianna Brooks, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 231 New Bridge St, Jacksonville, NC 28540 Phone: 910-915-9155 Fax: 910-939-5484 | |
Nicole Marie Polidoro, LCSW-A Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 Tarpon Trl, Jacksonville, NC 28546 Phone: 910-938-1114 Fax: 910-938-1118 | |
Shirby Durant, LCSWA, LCASA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 231 Memorial Dr, Jacksonville, NC 28546 Phone: 910-353-5354 |