Mr George William Deegan, PSW874 is a
Social Worker - Clinical based in Crescent City, Florida. Mr George William Deegan is licensed to practice in Florida (license number PSW874) and his current practice location is
306 Union Ave, Crescent City, Florida. He can be reached at his office (for appointments etc.) via phone at
(386) 698-1232.
NPI number for Mr George William Deegan is 1841543147 and his current mailing address is 306 Union Ave, Crescent City, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1841543147.
Healthcare Provider's Profile
| Full Name | Mr George William Deegan |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 306 Union Ave, Crescent City, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1841543147
- Provider Enumeration Date: 10/24/2012
- Last Update Date: 10/24/2012
Medical Identifiers
Medical identifiers for Mr George William Deegan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841543147 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 5565 (Florida) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1905 (New York) | Secondary |
| 1041C0700X | Social Worker - Clinical | PSW874 (Florida) | Primary |
| 1041C0700X | Social Worker - Clinical | 72072418 (New York) | 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. Mr George William Deegan 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 George William Deegan, PSW874
306 Union Ave,
Crescent City, FL 32112-4432
Ph: (386) 698-1232 | Mr George William Deegan, PSW874
306 Union Ave,
Crescent City, FL 32112-4432
Ph: (386) 698-1232 |
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