| Jacqueline Warner Garman, Lcsw, Pa | |
|
11336 Jim Ct Riverview FL 33569-5965 | |
| (813) 922-8237 | |
| Not Available |
| Full Name | Jacqueline Warner Garman, Lcsw, Pa |
|---|---|
| Speciality | Social Worker |
| Location | 11336 Jim Ct, Riverview, Florida |
| Authorized Official Name and Position | Jacqueline Michelle Warner (PRESIDENT) |
| Authorized Official Contact | 8139228237 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline Warner Garman, Lcsw, Pa 105 S Albany Ave Tampa FL 33606-1710 Ph: (813) 922-8237 | Jacqueline Warner Garman, Lcsw, Pa 11336 Jim Ct Riverview FL 33569-5965 Ph: (813) 922-8237 |
| NPI Number | 1356708259 |
|---|---|
| Provider Enumeration Date | 01/22/2016 |
| Last Update Date | 01/22/2016 |
| Medicare PECOS PAC ID | 4183928328 |
|---|---|
| Medicare Enrollment ID | O20160208001849 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356708259 | NPI | - | NPPES |
| IA051Z | Other | FL | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW10745 (Florida) | Primary |
| Provider Name | Jacqueline M Warner Garman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659774990 PECOS PAC ID: 5193048338 Enrollment ID: I20141219001574 |
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