| L. Rochelle Ainsworth, Llc | |
|
107 Oglethorpe Professional Ct Savannah GA 31406-3623 | |
| (912) 353-7699 | |
| (912) 353-9879 |
| Full Name | L. Rochelle Ainsworth, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 107 Oglethorpe Professional Ct, Savannah, Georgia |
| Authorized Official Name and Position | Linda Rochelle Ainsworth (DIRECTOR) |
| Authorized Official Contact | 9123537699 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| L. Rochelle Ainsworth, Llc 107 Oglethorpe Professional Ct Savannah GA 31406-3623 Ph: (912) 353-7699 | L. Rochelle Ainsworth, Llc 107 Oglethorpe Professional Ct Savannah GA 31406-3623 Ph: (912) 353-7699 |
| NPI Number | 1629231865 |
|---|---|
| Provider Enumeration Date | 07/08/2008 |
| Last Update Date | 07/08/2008 |
| Medicare PECOS PAC ID | 7911070263 |
|---|---|
| Medicare Enrollment ID | O20080718000464 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629231865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW001088 (Georgia) | Primary |
| Provider Name | Linda Rochelle Ainsworth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598830002 PECOS PAC ID: 1658444906 Enrollment ID: I20080718000460 |
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