| Social Werx, Llc | |
|
2912 W 84th Pl Merrillville IN 46410-7288 | |
| (219) 670-0365 | |
| Not Available |
| Full Name | Social Werx, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2912 W 84th Pl, Merrillville, Indiana |
| Authorized Official Name and Position | Brenda Comer (CEO) |
| Authorized Official Contact | 2196703655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Social Werx, Llc 2912 W 84th Pl Merrillville IN 46410-7288 Ph: (219) 670-0365 | Social Werx, Llc 2912 W 84th Pl Merrillville IN 46410-7288 Ph: (219) 670-0365 |
| NPI Number | 1952979718 |
|---|---|
| Provider Enumeration Date | 06/16/2021 |
| Last Update Date | 06/16/2021 |
| Certification Date | 06/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952979718 | NPI | - | NPPES |
| 1477121879 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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