| Ivolve Me Llc | |
|
121 Driving Park Ave Rochester NY 14613-2097 | |
| (585) 633-8776 | |
| (585) 446-0486 |
| Full Name | Ivolve Me Llc |
|---|---|
| Speciality | Social Worker |
| Location | 121 Driving Park Ave, Rochester, New York |
| Authorized Official Name and Position | Sylvia Ann Johnson (OWNER) |
| Authorized Official Contact | 5856338776 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivolve Me Llc 121 Driving Park Ave Rochester NY 14613-2097 Ph: (585) 633-8776 | Ivolve Me Llc 121 Driving Park Ave Rochester NY 14613-2097 Ph: (585) 633-8776 |
| NPI Number | 1659965960 |
|---|---|
| Provider Enumeration Date | 02/26/2021 |
| Last Update Date | 02/26/2021 |
| Certification Date | 02/26/2021 |
| Medicare PECOS PAC ID | 9537562780 |
|---|---|
| Medicare Enrollment ID | O20210726001040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659965960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sylvia A Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710345384 PECOS PAC ID: 2264763945 Enrollment ID: I20191010001076 |
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