Mrs Patricia M Wittenborn, LCSW is a
Social Worker - Clinical based in Valdosta, Georgia. Mrs Patricia M Wittenborn is licensed to practice in Georgia (license number CSW005326) and her current practice location is
2935 N Ashley St, Valdosta, Georgia. She can be reached at her office (for appointments etc.) via phone at
(229) 247-8700.
NPI number for Mrs Patricia M Wittenborn is 1467477158 and her current mailing address is 3941 Weatherby Ln, Valdosta, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1467477158.
Healthcare Provider's Profile
| Full Name | Mrs Patricia M Wittenborn |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 2935 N Ashley St, Valdosta, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1467477158
- Provider Enumeration Date: 07/13/2006
- Last Update Date: 03/30/2015
Medical Identifiers
Medical identifiers for Mrs Patricia M Wittenborn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467477158 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 17917 (Texas) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW005326 (Georgia) | 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. Mrs Patricia M Wittenborn 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 |
|---|
Mrs Patricia M Wittenborn, LCSW
3941 Weatherby Ln,
Valdosta, GA 31602-0878
Ph: (229) 333-2354 | Mrs Patricia M Wittenborn, LCSW
2935 N Ashley St,
Valdosta, GA 31602-1777
Ph: (229) 247-8700 |
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