| Ashley Bertram Lcsw Llc | |
|
100 Katelyn Cir Ste B Warner Robins GA 31088-6483 | |
| (904) 534-6036 | |
| Not Available |
| Full Name | Ashley Bertram Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 100 Katelyn Cir Ste B, Warner Robins, Georgia |
| Authorized Official Name and Position | Ashley Bertram (OWNER) |
| Authorized Official Contact | 9045346036 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley Bertram Lcsw Llc 100 Katelyn Cir Ste B Warner Robins GA 31088-6483 Ph: (904) 534-6036 | Ashley Bertram Lcsw Llc 100 Katelyn Cir Ste B Warner Robins GA 31088-6483 Ph: (904) 534-6036 |
| NPI Number | 1306507538 |
|---|---|
| Provider Enumeration Date | 01/10/2022 |
| Last Update Date | 10/26/2023 |
| Certification Date | 10/26/2023 |
| Medicare PECOS PAC ID | 3476928474 |
|---|---|
| Medicare Enrollment ID | O20230405000060 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306507538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Ashley Bertram |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285390146 PECOS PAC ID: 4385019389 Enrollment ID: I20230405000081 |
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