Glen Gaugh, LMSW | |
24 Weatherford Sq, Jackson, TN 38305-2202 | |
(731) 660-6730 | |
Not Available |
Full Name | Glen Gaugh |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 24 Weatherford Sq, Jackson, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003321902 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 9206 (Tennessee) | Primary |
Entity Name | Positive Living Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336614130 PECOS PAC ID: 8224367370 Enrollment ID: O20190916000575 |
Mailing Address | Practice Location Address |
---|---|
Glen Gaugh, LMSW 24 Weatherford Sq, Jackson, TN 38305-2202 Ph: (731) 660-6730 | Glen Gaugh, LMSW 24 Weatherford Sq, Jackson, TN 38305-2202 Ph: (731) 660-6730 |
Sarah M Venable, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 112 N Liberty St, Jackson, TN 38301 Phone: 731-736-4400 | |
Glen Tilghman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 374 N Parkway Ste B4, Jackson, TN 38305 Phone: 731-300-5131 | |
Kathelene Marie White, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 109 E Lafayette St, Jackson, TN 38301 Phone: 901-930-7397 | |
Mrs. Angelia Joan Doyle, LCSW LICENSED CLINIC Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 36 Sandstone Circle, Suite F, Jackson, TN 38308 Phone: 731-664-9146 Fax: 731-422-1000 | |
Francine Owens, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 238 Summar Dr, Jackson, TN 38301 Phone: 731-935-8200 Fax: 731-935-8327 | |
James A Jones Iii, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 238 Summar Dr, Jackson, TN 38301 Phone: 731-935-8200 Fax: 731-935-8327 |