J L Schorch Lcsw Psc | |
1167 E Broadway Ste 400 Louisville KY 40204-1768 | |
(502) 821-6309 | |
Not Available |
Full Name | J L Schorch Lcsw Psc |
---|---|
Speciality | Social Worker |
Location | 1167 E Broadway Ste 400, Louisville, Kentucky |
Authorized Official Name and Position | James Louis Schorch (LCSW) |
Authorized Official Contact | 5028216309 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
J L Schorch Lcsw Psc 1503 E Breckinridge St Louisville KY 40204-1709 Ph: (502) 821-6309 | J L Schorch Lcsw Psc 1167 E Broadway Ste 400 Louisville KY 40204-1768 Ph: (502) 821-6309 |
NPI Number | 1730653767 |
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Provider Enumeration Date | 01/12/2019 |
Last Update Date | 01/12/2019 |
Medicare PECOS PAC ID | 1254672983 |
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Medicare Enrollment ID | O20190408000887 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730653767 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | James L Schorch |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1376698670 PECOS PAC ID: 9234367533 Enrollment ID: I20140113001497 |
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