| Empowering Initiative Licensed Clinical Social Worker Lcsw Inc | |
|
2560 Inverness Dr Lincoln CA 95648-9576 | |
| (855) 650-7585 | |
| (912) 454-4232 |
| Full Name | Empowering Initiative Licensed Clinical Social Worker Lcsw Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2560 Inverness Dr, Lincoln, California |
| Authorized Official Name and Position | Wes James Hardcastle-orr (CEO/OWNER) |
| Authorized Official Contact | 9126957863 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowering Initiative Licensed Clinical Social Worker Lcsw Inc 1401 21st St Ste R Sacramento CA 95811-5226 Ph: (855) 650-7585 | Empowering Initiative Licensed Clinical Social Worker Lcsw Inc 2560 Inverness Dr Lincoln CA 95648-9576 Ph: (855) 650-7585 |
| NPI Number | 1053094862 |
|---|---|
| Provider Enumeration Date | 08/09/2023 |
| Last Update Date | 08/09/2023 |
| Certification Date | 08/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053094862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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