Allyson Warshaw, Lcsw Llc | |
4045 Ernest Street Lake Charles LA 70605-3421 | |
(337) 515-7973 | |
Not Available |
Full Name | Allyson Warshaw, Lcsw Llc |
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Speciality | Community/Behavioral Health |
Location | 4045 Ernest Street, Lake Charles, Louisiana |
Authorized Official Name and Position | Allyson Warshaw (OWNER) |
Authorized Official Contact | 3375157973 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Allyson Warshaw, Lcsw Llc 4045 Ernest Street Lake Charles LA 70605-3421 Ph: (337) 515-7973 | Allyson Warshaw, Lcsw Llc 4045 Ernest Street Lake Charles LA 70605-3421 Ph: (337) 515-7973 |
NPI Number | 1952844060 |
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Provider Enumeration Date | 11/21/2016 |
Last Update Date | 12/12/2016 |
Medicare PECOS PAC ID | 2264712058 |
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Medicare Enrollment ID | O20161214000425 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952844060 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 12393 (Louisiana) | Primary |
Provider Name | Allyson B Warshaw |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1497204580 PECOS PAC ID: 5890075683 Enrollment ID: I20161214000627 |
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