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Temesha Evette Polk-Howard

Social Worker

Behavioral Health & Social Service Providers

1030 Jefferson Ave, Memphis, TN 38104-2127

PECOS Enrollment

Based on the most recent information from CMS, provider Temesha Evette Polk-Howard does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1700411014
Provider Type
Individual
Full Name
Polk-Howard, Temesha Evette
Title
Mrs.
Credential
MSW,LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
3/6/2020
Last Updated
4/10/2023

Contact Information

Practice Location

1030 Jefferson Ave, Memphis, TN 38104-2127

(901) 523-8900

Unlisted Fax

Mailing Location

1030 Jefferson Ave, Memphis, TN 38104-2127

(901) 523-8990

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 7747 Tennessee
Code 104100000X	Description Social Worker Behavioral Health & Social Service Providers	License 9835 Tennessee

Provider Identifiers

ID	Description	Issuer
ID 000	Description Other	Issuer N/A Tennessee

Temesha Evette Polk-Howard

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Sullivan-Tibbs, Michael A

Dill, Sarah Jo Ann

Dept Of Veterans Affairs Medical Center

Connell, Emily Germany

Pringle, Latoya R.

Roberts, Lauryn Audrie

Shadish, Betty Duke

Carroll, Pamela Elaine

Smith-Campbell, Rosemary

Deal, Chasity J.