| Skillswork Pc | |
|
2295 Wildwood Rd Mifflinburg PA 17844-8249 | |
| (570) 524-0909 | |
| Not Available |
| Full Name | Skillswork Pc |
|---|---|
| Speciality | Social Worker |
| Location | 2295 Wildwood Rd, Mifflinburg, Pennsylvania |
| Authorized Official Name and Position | Genelle Sweetser (PRESIDENT) |
| Authorized Official Contact | 5708980446 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Skillswork Pc 2295 Wildwood Rd Mifflinburg PA 17844-8249 Ph: (570) 524-0909 | Skillswork Pc 2295 Wildwood Rd Mifflinburg PA 17844-8249 Ph: (570) 524-0909 |
| NPI Number | 1194010959 |
|---|---|
| Provider Enumeration Date | 06/09/2011 |
| Last Update Date | 06/20/2024 |
| Certification Date | 06/20/2024 |
| Medicare PECOS PAC ID | 0840459228 |
|---|---|
| Medicare Enrollment ID | O20120302000646 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194010959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CW013818 (Pennsylvania) | Primary |
| Provider Name | Genelle R Sweetser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811018658 PECOS PAC ID: 5991894230 Enrollment ID: I20120307000392 |
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