| Sanders Empowerment Services Llc | |
|
5026 Clarkson Drive Indianapolis IN 46254 | |
| (317) 294-1434 | |
| Not Available |
| Full Name | Sanders Empowerment Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 5026 Clarkson Drive, Indianapolis, Indiana |
| Authorized Official Name and Position | Edna Mae Sanders-mensah (PRESIDENT) |
| Authorized Official Contact | 3172941434 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanders Empowerment Services Llc Po Box 532648 Indianapolis IN 46253 Ph: (317) 294-1434 | Sanders Empowerment Services Llc 5026 Clarkson Drive Indianapolis IN 46254 Ph: (317) 294-1434 |
| NPI Number | 1427673052 |
|---|---|
| Provider Enumeration Date | 06/09/2020 |
| Last Update Date | 06/09/2020 |
| Certification Date | 06/09/2020 |
| Medicare PECOS PAC ID | 5193145019 |
|---|---|
| Medicare Enrollment ID | O20201015000120 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427673052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Edna Mae Sanders |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124386107 PECOS PAC ID: 4082876040 Enrollment ID: I20120509000077 |
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