| Tania Janei Stack, MSW, LCSW, CHC | |
|
300 N Grace St, Rocky Mount, NC 27804-5345 | |
| (252) 210-9856 | |
| (252) 822-5067 |
| Full Name | Tania Janei Stack |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 300 N Grace St, Rocky Mount, 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 |
|---|---|---|---|
| 1639505621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C010096 (North Carolina) | Primary |
| Entity Name | Fellowship Health Resources Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245239680 PECOS PAC ID: 8224022546 Enrollment ID: O20120411000349 |
| Entity Name | Opportunities Industrialization Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528478237 PECOS PAC ID: 3173563590 Enrollment ID: O20140921000016 |
| Entity Name | Opportunities Industrialization Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396103305 PECOS PAC ID: 3173563590 Enrollment ID: O20161104000262 |
| Entity Name | Opportunities Industrialization Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750734307 PECOS PAC ID: 3173563590 Enrollment ID: O20170629002020 |
| Entity Name | Osh-mi Physicians Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033766092 PECOS PAC ID: 7810282191 Enrollment ID: O20191118000511 |
| Mailing Address | Practice Location Address |
|---|---|
| Tania Janei Stack, MSW, LCSW, CHC 6305 Arsenal Ave, Raleigh, NC 27610-6780 Ph: (919) 219-9747 | Tania Janei Stack, MSW, LCSW, CHC 300 N Grace St, Rocky Mount, NC 27804-5345 Ph: (252) 210-9856 |
Dr. Julie Dixon, MSW, DSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 124 N Englewood Dr, Rocky Mount, NC 27804 Phone: 919-268-0100 | |
Erin Graney, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 90 Guardian Ct, Rocky Mount, NC 27804 Phone: 252-212-3350 Fax: 252-212-0322 | |
Mr. Dwight Eugene Harper, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 Nash Medical Arts Mall, Rocky Mount, NC 27804 Phone: 252-937-8141 Fax: 252-443-9574 | |
Miss Tiffany Bazemore, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 224 Browning Ln, Rocky Mount, NC 27804 Phone: 252-442-4176 | |
Ms. T'niya A Britton, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2747 Sunset Ave Ste 109, Rocky Mount, NC 27804 Phone: 252-458-1216 Fax: 252-985-3210 | |
Wendy Leticia Alvarenga-aguirre, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 901 N Winstead Ave Ste 260, Rocky Mount, NC 27804 Phone: 252-210-6530 | |
Ms. Davneatra Foster Campbell, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 90 Guardian Ct, Rocky Mount, NC 27804 Phone: 252-212-3350 Fax: 252-212-0322 |