| Trent Eisenbeisz, LICSW | |
|
1206 Cherry Grv, Greeneville, TN 37745-2035 | |
| (360) 480-5996 | |
| Not Available |
| Full Name | Trent Eisenbeisz |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 1206 Cherry Grv, Greeneville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295205607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LW60506546 (Washington) | Primary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20230424000147 |
| Mailing Address | Practice Location Address |
|---|---|
| Trent Eisenbeisz, LICSW 1206 Cherry Grv, Greeneville, TN 37745-2035 Ph: (360) 480-5996 | Trent Eisenbeisz, LICSW 1206 Cherry Grv, Greeneville, TN 37745-2035 Ph: (360) 480-5996 |
Elizabeth Anderson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 312 Tusculum Blvd, Suite 100, Greeneville, TN 37745 Phone: 423-278-8805 | |
Ms. Cheryl Meyers Huggins, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 404 Holston Dr, Greeneville, TN 37743 Phone: 423-470-0159 Fax: 423-638-7171 | |
Patricia Chesnut, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 303 Takoma Ave, Greeneville, TN 37743 Phone: 423-636-0491 Fax: 423-636-2425 | |
Madison Elaine Idell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 185 Serral Dr, Greeneville, TN 37745 Phone: 423-609-3312 | |
Whitney S Compton Holt, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 401 Holston Dr, Greeneville, TN 37743 Phone: 423-639-1104 Fax: 423-636-8365 | |
Clifford Farmer Miller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 312 Tusculum Blvd, Suite 100, Greeneville, TN 37745 Phone: 423-278-8805 Fax: 423-370-1494 |