| Porche Lashoade Corley, LCSW | |
|
1240 S 1st St, Jesup, GA 31545-7700 | |
| (912) 421-9794 | |
| Not Available |
| Full Name | Porche Lashoade Corley |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1240 S 1st St, Jesup, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629771761 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW008534 (Georgia) | Primary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220315000829 |
| Mailing Address | Practice Location Address |
|---|---|
| Porche Lashoade Corley, LCSW 1240 S 1st St, Jesup, GA 31545-7700 Ph: (912) 421-9794 | Porche Lashoade Corley, LCSW 1240 S 1st St, Jesup, GA 31545-7700 Ph: (912) 421-9794 |
Marissa Lairsey, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 189 N Brunswick St, Jesup, GA 31546 Phone: 912-530-8889 | |
Paulette Parker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1520 W Cherry St, Jesup, GA 31545 Phone: 912-294-2900 | |
Kathleen Deal Tatum, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 296 Turpentine Cir, Jesup, GA 31545 Phone: 912-424-6134 | |
Hannah Brooke Evors, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 311 E Cherry St, Jesup, GA 31546 Phone: 912-530-8889 | |
Ariel Scherer, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 256 W Walnut St, Jesup, GA 31545 Phone: 912-480-6070 | |
Shauna Mattingly, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1520 W Cherry St, Jesup, GA 31545 Phone: 912-286-2423 |