Mr Jorge Antonio Perdomo, LISW is a
Social Worker - Clinical based in Williamston, South Carolina. Mr Jorge Antonio Perdomo is licensed to practice in * (Not Available) (license number ) and his current practice location is
900 Greenville Drive, Williamston, South Carolina. He can be reached at his office (for appointments etc.) via phone at
(864) 847-1818.
NPI number for Mr Jorge Antonio Perdomo is 1275676892 and his current mailing address is 135 Crystal Dr, Duncan, South Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1275676892.
Healthcare Provider's Profile
| Full Name | Mr Jorge Antonio Perdomo |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 900 Greenville Drive, Williamston, South 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: 1275676892
- Provider Enumeration Date: 02/14/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Jorge Antonio Perdomo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275676892 | NPI | - | NPPES |
| 7100 | Other | SC | LICENSE # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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 Jorge Antonio Perdomo 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 Jorge Antonio Perdomo, LISW
135 Crystal Dr,
Duncan, SC 29334-9320
Ph: (864) 439-7800 | Mr Jorge Antonio Perdomo, LISW
900 Greenville Drive,
Williamston, SC 29697
Ph: (864) 847-1818 |
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