| Andrea L. Washo, Lisw-cp, Llc | |
|
452 Lakeshore Pkwy Suite 220 Rock Hill SC 29730-4291 | |
| (803) 266-7189 | |
| Not Available |
| Full Name | Andrea L. Washo, Lisw-cp, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 452 Lakeshore Pkwy, Rock Hill, South Carolina |
| Authorized Official Name and Position | Andrea L Washo (LICENSED INDEPENDENT SOCIAL WORKER) |
| Authorized Official Contact | 8032667189 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea L. Washo, Lisw-cp, Llc 2764 Pleasant Rd Suite A #10806 Fort Mill SC 29708-7213 Ph: (803) 226-7189 | Andrea L. Washo, Lisw-cp, Llc 452 Lakeshore Pkwy Suite 220 Rock Hill SC 29730-4291 Ph: (803) 266-7189 |
| NPI Number | 1548701493 |
|---|---|
| Provider Enumeration Date | 03/12/2017 |
| Last Update Date | 03/12/2017 |
| Medicare PECOS PAC ID | 4587931274 |
|---|---|
| Medicare Enrollment ID | O20170531001279 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548701493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 9066 (South Carolina) | Primary |
| Provider Name | Andrea L Washo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417094434 PECOS PAC ID: 4284712977 Enrollment ID: I20080729000266 |
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