| Wanda Thomas, LCSW | |
|
8 Ridgeway Pl, Clinton, MS 39056-3542 | |
| (601) 842-1562 | |
| Not Available |
| Full Name | Wanda Thomas |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 8 Ridgeway Pl, Clinton, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063809390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C5245 (Mississippi) | Primary |
| 1041C0700X | Social Worker - Clinical | 5953C (Alabama) | Secondary |
| Entity Name | Brightside Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073072658 PECOS PAC ID: 9234525098 Enrollment ID: O20230711002961 |
| Mailing Address | Practice Location Address |
|---|---|
| Wanda Thomas, LCSW 105 Elizabeth Dr, Clinton, MS 39056-6147 Ph: (601) 842-1562 | Wanda Thomas, LCSW 8 Ridgeway Pl, Clinton, MS 39056-3542 Ph: (601) 842-1562 |
Rebecca Brooks Prewitt, EDS, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 130 B Fairmont Street, Clinton, MS 39056 Phone: 601-351-9877 | |
Prof. Angela Kathryn Gaddis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 132 Fairmont St Ste D, Clinton, MS 39056 Phone: 601-842-1890 | |
Valrie Morris, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 604 Highway 80 W Ste R, Clinton, MS 39056 Phone: 601-473-2106 | |
Toni Lewis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 604 Highway 80 W Ste R, Clinton, MS 39056 Phone: 601-278-3246 | |
Brittany Michelle Pippins, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1608 Twin Oaks Dr, Clinton, MS 39056 Phone: 601-212-2547 | |
Pamela Dawn Coker, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 8 Natchez Cv, Clinton, MS 39056 Phone: 203-640-9387 |