| Rosalie Ann Camacho-collier, LICSW | |
|
232 Market St, Flowood, MS 39232-3339 | |
| (323) 205-7088 | |
| (833) 419-0181 |
| Full Name | Rosalie Ann Camacho-collier |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 11 Years |
| Location | 232 Market St, Flowood, Mississippi |
| 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 |
|---|---|---|---|
| 1508385568 | NPI | - | NPPES |
| ISW02926 | Other | RI | CLINICAL SOCIAL WORKER: LICENSE NUMBER |
| C11635 | Other | MS | LCSW |
| CSW01846 | Other | CLINICAL SOCIAL WORKER: LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | ISW02926 (Rhode Island) | Primary |
| 1041C0700X | Social Worker - Clinical | C11636 (Mississippi) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Affinity Physicians Llc. | 0244413391 | 630 |
| Entity Name | Affinity Physicians Llc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184944662 PECOS PAC ID: 0244413391 Enrollment ID: O20110326000053 |
| Entity Name | Prospect Chartercare Sjhsri Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588089759 PECOS PAC ID: 7315179314 Enrollment ID: O20140722001928 |
| Entity Name | Prospect Chartercare Rwmc, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285059287 PECOS PAC ID: 0547492696 Enrollment ID: O20140728001672 |
| Mailing Address | Practice Location Address |
|---|---|
| Rosalie Ann Camacho-collier, LICSW 400 E Floyce St, Ruleville, MS 38771-3922 Ph: (401) 626-7313 | Rosalie Ann Camacho-collier, LICSW 232 Market St, Flowood, MS 39232-3339 Ph: (323) 205-7088 |
Katherine Woodley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 499 Keywood Cir Ste B, Flowood, MS 39232 Phone: 769-208-3950 | |
Mrs. Jessica House Ledbetter, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1323 Jasmine Way, Flowood, MS 39232 Phone: 601-331-6751 | |
Kimberly B. Rooks, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 232 Market St Bldg K, Flowood, MS 39232 Phone: 601-953-1282 | |
Leanna Nicole Howard, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2945 Layfair Drive, Apt. 1621, Flowood, MS 39232 Phone: 601-320-2571 | |
Brittany E Chandler, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1529 Oak St Apt 18, Flowood, MS 39232 Phone: 601-835-6594 | |
Ladonna S Day, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 105 Hogg Creek Dr Unit 321073, Flowood, MS 39232 Phone: 601-809-9292 | |
April Hammons Mckinley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2508 Lakeland Dr, Suite 200, Flowood, MS 39232 Phone: 601-664-0455 Fax: 601-664-1675 |