Rpl Lmsw Llc | |
1551 21st Ave N Ste 2 Myrtle Beach SC 29577-7495 | |
(843) 655-7089 | |
Not Available |
Full Name | Rpl Lmsw Llc |
---|---|
Speciality | Social Worker |
Location | 1551 21st Ave N Ste 2, Myrtle Beach, South Carolina |
Authorized Official Name and Position | Robert Luciano (OWNER) |
Authorized Official Contact | 8436557089 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rpl Lmsw Llc 1551 21st Ave N Ste 2 Myrtle Beach SC 29577-7495 Ph: () - | Rpl Lmsw Llc 1551 21st Ave N Ste 2 Myrtle Beach SC 29577-7495 Ph: (843) 655-7089 |
NPI Number | 1417717851 |
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Provider Enumeration Date | 03/21/2024 |
Last Update Date | 03/21/2024 |
Certification Date | 03/21/2024 |
Medicare PECOS PAC ID | 3274974076 |
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Medicare Enrollment ID | O20240510001512 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417717851 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Robert Paul Luciano |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1649795626 PECOS PAC ID: 5890136691 Enrollment ID: I20240510001807 |
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