| Ldjoanow Msw Llc | |
|
850 S Hermitage Rd Ste E Hermitage PA 16148-3679 | |
| (724) 699-2870 | |
| (724) 347-1422 |
| Full Name | Ldjoanow Msw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 850 S Hermitage Rd Ste E, Hermitage, Pennsylvania |
| Authorized Official Name and Position | Laurie Joanow (OWNER) |
| Authorized Official Contact | 7246992870 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ldjoanow Msw Llc 850 S Hermitage Rd Ste E Hermitage PA 16148-3679 Ph: (724) 699-2870 | Ldjoanow Msw Llc 850 S Hermitage Rd Ste E Hermitage PA 16148-3679 Ph: (724) 699-2870 |
| NPI Number | 1114531076 |
|---|---|
| Provider Enumeration Date | 09/08/2020 |
| Last Update Date | 09/08/2020 |
| Certification Date | 09/03/2020 |
| Medicare PECOS PAC ID | 2961821376 |
|---|---|
| Medicare Enrollment ID | O20201005002217 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114531076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Laurie Joanow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922350032 PECOS PAC ID: 7416109244 Enrollment ID: I20121130000366 |
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