| Shawntasia Daughtry, | |
|
175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | |
| (678) 209-2394 | |
| Not Available |
| Full Name | Shawntasia Daughtry |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 175 Gwinnett Dr, Lawrenceville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073327821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW009418 (Georgia) | Primary |
| Entity Name | View Point Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609853860 PECOS PAC ID: 0840272282 Enrollment ID: O20040601001088 |
| Mailing Address | Practice Location Address |
|---|---|
| Shawntasia Daughtry, 35 Taylor Ln, Covington, GA 30014-2545 Ph: (240) 305-8348 | Shawntasia Daughtry, 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 Ph: (678) 209-2394 |
Miss Opal Hope Minott, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1083 Simonton Hill Ct, Lawrenceville, GA 30045 Phone: 770-375-0479 Fax: 678-985-4228 | |
Ms. Tomekia Holandia Raines, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 270 W Oak St Ste 2, Lawrenceville, GA 30046 Phone: 770-866-1060 | |
Akisha Miller, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 888 Legacy Park Dr Ste 301, Lawrenceville, GA 30043 Phone: 855-284-7483 Fax: 617-807-0958 | |
Natali Nelson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1760 Lakes Pkwy Unit 4416, Lawrenceville, GA 30043 Phone: 413-427-3627 | |
Ms. Jasmine Denise Williams, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2229 Oakland Downs Way, Lawrenceville, GA 30044 Phone: 850-524-9069 | |
Ms. Jacklyn J Montero, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 175 Gwinnett Dr, Lawrenceville, GA 30045 Phone: 770-339-5377 Fax: 770-339-5016 |