| Nivien Ibrahim, LCSW | |
|
8838 Us Highway 70 W, Suite 200c, Clayton, NC 27520-4822 | |
| (919) 946-8644 | |
| (919) 550-2913 |
| Full Name | Nivien Ibrahim |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 8838 Us Highway 70 W, Clayton, 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 |
|---|---|---|---|
| 1275605347 | NPI | - | NPPES |
| 1415Y | Other | NC | BCBS |
| 6106317 | Medicaid | NC | |
| 127852 | Other | NC | MEDCOST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C004122 (North Carolina) | Primary |
| Entity Name | Mental Health Specialty Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801472634 PECOS PAC ID: 8921466228 Enrollment ID: O20240305000416 |
| Mailing Address | Practice Location Address |
|---|---|
| Nivien Ibrahim, LCSW Po Box 1831, Clayton, NC 27528-1831 Ph: (919) 946-8644 | Nivien Ibrahim, LCSW 8838 Us Highway 70 W, Suite 200c, Clayton, NC 27520-4822 Ph: (919) 946-8644 |
Amanda Hotchkiss, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 34 Healthpark Way Ste 100, Clayton, NC 27520 Phone: 919-585-8850 Fax: 919-585-8869 | |
Ms. Cynthia Starling, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2076 Nc Highway 42 W, Suite 220, Clayton, NC 27520 Phone: 919-550-3323 Fax: 919-550-3379 | |
Lave Wilson Pennywell, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 45 Sanibel St, Clayton, NC 27520 Phone: 919-410-5287 | |
Mr. Billy Jones, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2076 Nc Highway 42 W, Suite 220, Clayton, NC 27520 Phone: 919-550-3323 Fax: 919-550-3376 | |
Lucy Lang, MSW, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 34 Oleander Dr Ste 104, Clayton, NC 27527 Phone: 919-243-1505 Fax: 919-585-6311 | |
Laurie Lassiter Layton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 117 Lake Point Dr, Clayton, NC 27527 Phone: 919-218-5142 | |
Marilyn V. Fletcher, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 34 Oleander Dr Ste 104, Clayton, NC 27527 Phone: 919-439-4182 |