| Ellen Joiner-woodard, Lcsw, Pc | |
|
2914 N Oak St Valdosta GA 31602-1718 | |
| (229) 333-0300 | |
| Not Available |
| Full Name | Ellen Joiner-woodard, Lcsw, Pc |
|---|---|
| Speciality | Social Worker |
| Location | 2914 N Oak St, Valdosta, Georgia |
| Authorized Official Name and Position | Ellen C Joiner-woodard (THERAPIST) |
| Authorized Official Contact | 2295636754 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellen Joiner-woodard, Lcsw, Pc 8655 Morven Rd Hahira GA 31632-2277 Ph: (229) 563-6754 | Ellen Joiner-woodard, Lcsw, Pc 2914 N Oak St Valdosta GA 31602-1718 Ph: (229) 333-0300 |
| NPI Number | 1184342602 |
|---|---|
| Provider Enumeration Date | 08/19/2022 |
| Last Update Date | 09/09/2022 |
| Certification Date | 09/09/2022 |
| Medicare PECOS PAC ID | 1456729367 |
|---|---|
| Medicare Enrollment ID | O20221128001739 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184342602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Ellen C Joiner-woodard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891425047 PECOS PAC ID: 8123496031 Enrollment ID: I20221128001556 |
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