Dr Jerry B Daniel, PHD is a
Social Worker - Clinical based in Rentz, Georgia. Dr Jerry B Daniel is licensed to practice in Georgia (license number CSW003690) and his current practice location is
1395 David Mullis Rd, Rentz, Georgia. He can be reached at his office (for appointments etc.) via phone at
(478) 998-2824.
NPI number for Dr Jerry B Daniel is 1861769861 and his current mailing address is 1395 David Mullis Rd, Rentz, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861769861.
Healthcare Provider's Profile
| Full Name | Dr Jerry B Daniel |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1395 David Mullis Rd, Rentz, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1861769861
- Provider Enumeration Date: 11/19/2011
- Last Update Date: 11/19/2011
Medical Identifiers
Medical identifiers for Dr Jerry B Daniel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861769861 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YS0200X | Counselor - School | 328554 (Georgia) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW003690 (Georgia) | Primary |
| 1041S0200X | Social Worker - School | 328554 (Georgia) | Secondary |
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. Dr Jerry B Daniel 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 |
|---|
Dr Jerry B Daniel, PHD
1395 David Mullis Rd,
Rentz, GA 31075-3219
Ph: (478) 984-1979 | Dr Jerry B Daniel, PHD
1395 David Mullis Rd,
Rentz, GA 31075-3219
Ph: (478) 998-2824 |
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