| Joette Vignery, Lscsw, Llc | |
|
2900 Winston Dr Lawrence KS 66049-1889 | |
| (785) 524-3541 | |
| Not Available |
| Full Name | Joette Vignery, Lscsw, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2900 Winston Dr, Lawrence, Kansas |
| Authorized Official Name and Position | Joette Del Vignery (OWNER/PROVIDER) |
| Authorized Official Contact | 7855243541 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joette Vignery, Lscsw, Llc 2900 Winston Dr Lawrence KS 66049-1889 Ph: (785) 524-3541 | Joette Vignery, Lscsw, Llc 2900 Winston Dr Lawrence KS 66049-1889 Ph: (785) 524-3541 |
| NPI Number | 1619491289 |
|---|---|
| Provider Enumeration Date | 07/26/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 5294007894 |
|---|---|
| Medicare Enrollment ID | O20170726002066 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619491289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 4455 (Kansas) | Primary |
| Provider Name | Joette D Vignery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497049241 PECOS PAC ID: 1658684089 Enrollment ID: I20150714002619 |
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