| Jennifer Walrod, Lcsw, Pllc | |
|
210 N Higgins Ave Ste 337 Missoula MT 59802-4443 | |
| (406) 529-7776 | |
| (866) 776-9460 |
| Full Name | Jennifer Walrod, Lcsw, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 210 N Higgins Ave Ste 337, Missoula, Montana |
| Authorized Official Name and Position | Jennifer Walrod (SOLE PROPRIETOR) |
| Authorized Official Contact | 4065297776 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Walrod, Lcsw, Pllc 210 N Higgins Ave Ste 337 Missoula MT 59802-4443 Ph: (406) 529-7776 | Jennifer Walrod, Lcsw, Pllc 210 N Higgins Ave Ste 337 Missoula MT 59802-4443 Ph: (406) 529-7776 |
| NPI Number | 1932441540 |
|---|---|
| Provider Enumeration Date | 03/21/2013 |
| Last Update Date | 03/21/2013 |
| Medicare PECOS PAC ID | 3072753888 |
|---|---|
| Medicare Enrollment ID | O20130627000746 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932441540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jennifer J Walrod |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003190778 PECOS PAC ID: 0840466918 Enrollment ID: I20111221000068 |
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