Mr Jessie Ray Staton, LCAS, LCSW is a
Social Worker - Clinical based in Ahoskie, North Carolina. Mr Jessie Ray Staton is licensed to practice in North Carolina (license number C007929) and his current practice location is
144 Community College Rd, Suite B, Ahoskie, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(252) 209-8932.
NPI number for Mr Jessie Ray Staton is 1487956397 and his current mailing address is 4300-110 Sapphire Ct, Port Human Services, Greenville, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1487956397.
Healthcare Provider's Profile
| Full Name | Mr Jessie Ray Staton |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 144 Community College Rd, Ahoskie, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1487956397
- Provider Enumeration Date: 11/29/2010
- Last Update Date: 09/29/2016
Medical Identifiers
Medical identifiers for Mr Jessie Ray Staton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487956397 | NPI | - | NPPES |
| 6112245 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1727 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | C007929 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jessie Ray Staton is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Jessie Ray Staton, LCAS, LCSW
4300-110 Sapphire Ct, Port Human Services,
Greenville, NC 27834
Ph: (252) 830-7540 | Mr Jessie Ray Staton, LCAS, LCSW
144 Community College Rd, Suite B,
Ahoskie, NC 27910-8047
Ph: (252) 209-8932 |
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