| Linda Clofine, Lcsw Inc. | |
|
598 S Milledge Ave Ste. 5 Athens GA 30605-1262 | |
| (706) 353-0709 | |
| (706) 549-3167 |
| Full Name | Linda Clofine, Lcsw Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 598 S Milledge Ave, Athens, Georgia |
| Authorized Official Name and Position | Linda Clofine (THERAPIST) |
| Authorized Official Contact | 7063530709 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Linda Clofine, Lcsw Inc. 598 S Milledge Ave Ste. 5 Athens GA 30605-1262 Ph: (706) 353-0709 | Linda Clofine, Lcsw Inc. 598 S Milledge Ave Ste. 5 Athens GA 30605-1262 Ph: (706) 353-0709 |
| NPI Number | 1619222973 |
|---|---|
| Provider Enumeration Date | 07/23/2012 |
| Last Update Date | 07/23/2012 |
| Medicare PECOS PAC ID | 1153646245 |
|---|---|
| Medicare Enrollment ID | O20150212001202 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619222973 | NPI | - | NPPES |
| 00979723E | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2742 (Georgia) | Primary |
| Provider Name | Linda K Clofine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902816374 PECOS PAC ID: 2860717956 Enrollment ID: I20150212001292 |
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