Jackie Badon, Lcsw | |
63035 Commercial St Roseland LA 70456-3616 | |
(985) 748-8411 | |
(866) 931-3991 |
Full Name | Jackie Badon, Lcsw |
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Speciality | Social Worker |
Location | 63035 Commercial St, Roseland, Louisiana |
Authorized Official Name and Position | Jackie Badon (LCSW) |
Authorized Official Contact | 9857488411 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jackie Badon, Lcsw 501 Forshag Ln Amite LA 70422-8122 Ph: (985) 747-8769 | Jackie Badon, Lcsw 63035 Commercial St Roseland LA 70456-3616 Ph: (985) 748-8411 |
NPI Number | 1013213008 |
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Provider Enumeration Date | 02/08/2011 |
Last Update Date | 11/14/2016 |
Medicare PECOS PAC ID | 9133397441 |
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Medicare Enrollment ID | O20110712000371 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013213008 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | 1927 (Louisiana) | Primary |
Provider Name | Jackie R Badon |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1619149101 PECOS PAC ID: 5597844746 Enrollment ID: I20080430000058 |
Hso, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 63035 Commercial Drive, Roseland, LA 70456 Phone: 198-574-8841 |