| Pete Bell, Lcsw, Inc. | |
|
2282 Eastway Rd. Decatur GA 30033-5508 | |
| (404) 680-6662 | |
| (888) 652-7849 |
| Full Name | Pete Bell, Lcsw, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 2282 Eastway Rd., Decatur, Georgia |
| Authorized Official Name and Position | Pete Bell (PRESIDENT) |
| Authorized Official Contact | 4046806662 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pete Bell, Lcsw, Inc. 2282 Eastway Rd. Decatur GA 30033-1657 Ph: (404) 680-6662 | Pete Bell, Lcsw, Inc. 2282 Eastway Rd. Decatur GA 30033-5508 Ph: (404) 680-6662 |
| NPI Number | 1902209588 |
|---|---|
| Provider Enumeration Date | 09/26/2014 |
| Last Update Date | 04/21/2021 |
| Certification Date | 04/21/2021 |
| Medicare PECOS PAC ID | 7517187743 |
|---|---|
| Medicare Enrollment ID | O20141009002017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902209588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW005070 (Georgia) | Primary |
| Provider Name | Peter Ranger Bell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104248384 PECOS PAC ID: 8426278656 Enrollment ID: I20141030001237 |
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