| Joan S Waldroup, Lcsw, Pllc | |
|
1403 43rd Ave Gulfport MS 39501-2545 | |
| (228) 234-9460 | |
| (228) 241-0326 |
| Full Name | Joan S Waldroup, Lcsw, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1403 43rd Ave, Gulfport, Mississippi |
| Authorized Official Name and Position | Joan S Waldroup (OWNER) |
| Authorized Official Contact | 2288600506 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joan S Waldroup, Lcsw, Pllc Po Box 7475 Gulfport MS 39506-7475 Ph: () - | Joan S Waldroup, Lcsw, Pllc 1403 43rd Ave Gulfport MS 39501-2545 Ph: (228) 234-9460 |
| NPI Number | 1235694191 |
|---|---|
| Provider Enumeration Date | 02/05/2019 |
| Last Update Date | 03/28/2019 |
| Medicare PECOS PAC ID | 9436491800 |
|---|---|
| Medicare Enrollment ID | O20190506000292 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235694191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Joan T Waldroup |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457365447 PECOS PAC ID: 6608879044 Enrollment ID: I20060824000364 |
Gulfport Behavioral Health System Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11150 Highway 49 Ste B, Gulfport, MS 39503 Phone: 228-867-5202 | |
New Hope Family Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3610 12th Ave, Gulfport, MS 39501 Phone: 910-229-1473 | |
Refined Therapy Group, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1403 43rd Ave Ste D, Gulfport, MS 39501 Phone: 601-215-5545 | |
Laura A Brodie Phd Clinical & Forensic Psychology Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1822 15th St, Gulfport, MS 39501 Phone: 228-678-1042 | |
Gulf Coast Neurospa Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8845 Lorraine Road, Gulfport, MS 39503 Phone: 228-277-1771 Fax: 866-740-0655 | |
Diane E Ross Md Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2160 E Pass Road, Suite D, Gulfport, MS 39507 Phone: 228-896-3317 Fax: 228-896-3314 | |
Catholic Charities Of South Mississippi Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1450 North St, Gulfport, MS 39507 Phone: 228-219-5995 |