John Quitman Gowan, LCSW | |
2104 Loop Rd Ste C, Winnsboro, LA 71295 | |
(318) 435-6377 | |
Not Available |
Full Name | John Quitman Gowan |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 2104 Loop Rd Ste C, Winnsboro, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164867255 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | Behavioral Health Management Services, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417052713 PECOS PAC ID: 1456262450 Enrollment ID: O20040115000480 |
Entity Name | Mc Medical Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982293718 PECOS PAC ID: 4183955974 Enrollment ID: O20220111001955 |
Mailing Address | Practice Location Address |
---|---|
John Quitman Gowan, LCSW 2106 Loop Rd, Winnsboro, LA 71295-3344 Ph: (318) 412-5265 | John Quitman Gowan, LCSW 2104 Loop Rd Ste C, Winnsboro, LA 71295 Ph: (318) 435-6377 |
Ms. Jean Anne Black, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2104 Loop Rd, Suite C, Winnsboro, LA 71295 Phone: 318-435-4571 | |
Annie Caldwell, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2104 Loop Rd Ste C, Winnsboro, LA 71295 Phone: 318-435-6377 | |
Ms. Lawana Brown, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2106 Loop Rd, Winnsboro, LA 71295 Phone: 318-412-5265 Fax: 318-435-3842 | |
Christy Ticheli, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2106 Loop Rd, Winnsboro, LA 71295 Phone: 318-435-6377 Fax: 318-435-3842 | |
Julia G Green, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2106 Loop Road, Winnsboro, LA 71295 Phone: 318-435-9411 | |
Mr. James Edward Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1301-b Landis Street, Winnsboro, LA 71295 Phone: 318-435-2146 Fax: 318-435-2134 |