| Patchworks Services Llc | |
|
1010 Creswell Ave Shreveport LA 71101-3918 | |
| (318) 458-5235 | |
| Not Available |
| Full Name | Patchworks Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1010 Creswell Ave, Shreveport, Louisiana |
| Authorized Official Name and Position | James Arnell Ross (SOCIAL WORKER) |
| Authorized Official Contact | 3184585235 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patchworks Services Llc 8036 Parker Pl Shreveport LA 71129-9706 Ph: (318) 458-5235 | Patchworks Services Llc 1010 Creswell Ave Shreveport LA 71101-3918 Ph: (318) 458-5235 |
| NPI Number | 1760029540 |
|---|---|
| Provider Enumeration Date | 11/29/2019 |
| Last Update Date | 01/10/2020 |
| Certification Date | 01/10/2020 |
| Medicare PECOS PAC ID | 4688009244 |
|---|---|
| Medicare Enrollment ID | O20200109000484 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760029540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | James Arnell Ross |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801347232 PECOS PAC ID: 5597190157 Enrollment ID: I20200110001623 |
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