| Tiquicha Monique Harris, MSW | |
|
1900 The Exchange Se, Suite 420, Atlanta, GA 30339-2022 | |
| (678) 460-0345 | |
| (678) 460-0350 |
| Full Name | Tiquicha Monique Harris |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1900 The Exchange Se, Atlanta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790916609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 104100000X | Social Worker | MSW004830 (Georgia) | Secondary |
| Entity Name | Capstone Hospice, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598134975 PECOS PAC ID: 0749585784 Enrollment ID: O20200818003657 |
| Entity Name | Unlock Dreams |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104508431 PECOS PAC ID: 3779014261 Enrollment ID: O20241008003738 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiquicha Monique Harris, MSW 1425 Market Blvd Ste 530-145, Roswell, GA 30076-6708 Ph: (678) 852-2987 | Tiquicha Monique Harris, MSW 1900 The Exchange Se, Suite 420, Atlanta, GA 30339-2022 Ph: (678) 460-0345 |
Michael Kendrick Johnson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 343 8th St Ne, #e-2, Atlanta, GA 30309 Phone: 678-895-8412 Fax: 404-879-0779 | |
Ms. Susan Peterson-hazan, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1821 Clifton Rd Ne, Atlanta, GA 30329 Phone: 404-728-6273 Fax: 404-728-6577 | |
Rick Bemis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 800 Virginia Ave, Suite 300, Atlanta, GA 30354 Phone: 404-438-2751 Fax: 404-761-7544 | |
Ms. Phyllis Ann Glass, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1904 Monroe Dr Ne, Suite 120, Atlanta, GA 30324 Phone: 404-874-8294 Fax: 404-874-2020 | |
Mrs. Alesia K Alexander Layne, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2048 Hosea L Williams Dr Ne, Suite A, Atlanta, GA 30317 Phone: 404-207-5024 | |
Tzipporah R Gerson-miller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1820 The Exchange Se Ste 550, Atlanta, GA 30339 Phone: 404-913-1496 | |
Louise Ann Hill, LCSW, M.DIV., D.MIN. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 251 Howard St Ne, Atlanta, GA 30317 Phone: 404-825-9170 |