Cohesive Pathways, Pc | |
141 Providence Rd Ste 100 Chapel Hill NC 27514-6219 | |
(919) 636-5982 | |
Not Available |
Full Name | Cohesive Pathways, Pc |
---|---|
Speciality | Social Worker |
Location | 141 Providence Rd Ste 100, Chapel Hill, North Carolina |
Authorized Official Name and Position | Michael Jokich (PRESIDENT) |
Authorized Official Contact | 9196365982 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Cohesive Pathways, Pc 101 Millingport Ct Chapel Hill NC 27517-7444 Ph: (919) 636-5982 | Cohesive Pathways, Pc 141 Providence Rd Ste 100 Chapel Hill NC 27514-6219 Ph: (919) 636-5982 |
NPI Number | 1003034547 |
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Provider Enumeration Date | 04/22/2007 |
Last Update Date | 12/27/2019 |
Certification Date | 12/27/2019 |
Medicare PECOS PAC ID | 7911058854 |
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Medicare Enrollment ID | O20090706000370 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003034547 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | C006238 (North Carolina) | Primary |
1041C0700X | Social Worker - Clinical | C004163 (North Carolina) | Secondary |
Provider Name | Elizabeth P Welton |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1871683185 PECOS PAC ID: 3971510215 Enrollment ID: I20090402000687 |
Provider Name | Michael Jokich |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1578789236 PECOS PAC ID: 3274684113 Enrollment ID: I20161013000741 |
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