Luis E Ruizpeguero, LCSW | |
1251 Fairfax Hunt, Lawrenceville, GA 30043-4003 | |
(912) 977-3941 | |
Not Available |
Full Name | Luis E Ruizpeguero |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 1251 Fairfax Hunt, Lawrenceville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497538292 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CSW008698 (Georgia) | Primary |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210225002747 |
Mailing Address | Practice Location Address |
---|---|
Luis E Ruizpeguero, LCSW 1251 Fairfax Hunt, Lawrenceville, GA 30043-4003 Ph: (912) 977-3941 | Luis E Ruizpeguero, LCSW 1251 Fairfax Hunt, Lawrenceville, GA 30043-4003 Ph: (912) 977-3941 |
Miss Opal Hope Minott, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1083 Simonton Hill Ct, Lawrenceville, GA 30045 Phone: 770-375-0479 Fax: 678-985-4228 | |
Ms. Tomekia Holandia Raines, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 270 W Oak St Ste 2, Lawrenceville, GA 30046 Phone: 770-866-1060 | |
Akisha Miller, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 888 Legacy Park Dr Ste 301, Lawrenceville, GA 30043 Phone: 855-284-7483 Fax: 617-807-0958 | |
Natali Nelson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1760 Lakes Pkwy Unit 4416, Lawrenceville, GA 30043 Phone: 413-427-3627 | |
Ms. Jasmine Denise Williams, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2229 Oakland Downs Way, Lawrenceville, GA 30044 Phone: 850-524-9069 | |
Ms. Jacklyn J Montero, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 175 Gwinnett Dr, Lawrenceville, GA 30045 Phone: 770-339-5377 Fax: 770-339-5016 | |
Gail S Hammond, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 295 S Culver St Ste A, Lawrenceville, GA 30046 Phone: 770-217-7903 Fax: 770-995-0171 |