| Social Work Usa | |
|
1101 Mcmurtrie Dr Nw Huntsville AL 35806-2469 | |
| (256) 434-1246 | |
| (888) 502-0641 |
| Full Name | Social Work Usa |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1101 Mcmurtrie Dr Nw, Huntsville, Alabama |
| Authorized Official Name and Position | Choya Reginald Wise (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2566516562 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Social Work Usa 129 Laurel Oak Rd Huntsville AL 35811-9073 Ph: (256) 651-6562 | Social Work Usa 1101 Mcmurtrie Dr Nw Huntsville AL 35806-2469 Ph: (256) 434-1246 |
| NPI Number | 1720434939 |
|---|---|
| Provider Enumeration Date | 05/05/2016 |
| Last Update Date | 05/05/2016 |
| Medicare PECOS PAC ID | 1658621412 |
|---|---|
| Medicare Enrollment ID | O20180829002110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720434939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2305C (Alabama) | Primary |
| Provider Name | Choya Wise |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578920039 PECOS PAC ID: 3476803230 Enrollment ID: I20180829002266 |
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