Jehanne Gheith, Msw, Phd, Lcsw | |
112 Swift Ave Durham NC 27705-4883 | |
(919) 452-9286 | |
Not Available |
Full Name | Jehanne Gheith, Msw, Phd, Lcsw |
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Speciality | Social Worker |
Location | 112 Swift Ave, Durham, North Carolina |
Authorized Official Name and Position | Jehanne Gheith (OWNER, PROVIDER) |
Authorized Official Contact | 9194529286 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jehanne Gheith, Msw, Phd, Lcsw 400 Anita St Durham NC 27701-1414 Ph: (919) 452-9286 | Jehanne Gheith, Msw, Phd, Lcsw 112 Swift Ave Durham NC 27705-4883 Ph: (919) 452-9286 |
NPI Number | 1144770876 |
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Provider Enumeration Date | 10/05/2016 |
Last Update Date | 10/05/2016 |
Medicare PECOS PAC ID | 2961781406 |
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Medicare Enrollment ID | O20161128001062 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144770876 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | C009360 (North Carolina) | Primary |
Provider Name | Jehanne M Gheith |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1841671302 PECOS PAC ID: 3870872310 Enrollment ID: I20161128001160 |
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