| Susan L. Josephson, Inc. | |
|
5001 Highway 190 East Service Rd Covington LA 70433-4930 | |
| (985) 773-8882 | |
| Not Available |
| Full Name | Susan L. Josephson, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 5001 Highway 190 East Service Rd, Covington, Louisiana |
| Authorized Official Name and Position | Susan L. Josephson (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 9857738882 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan L. Josephson, Inc. 5001 Highway 190 East Service Rd Covington LA 70433-4930 Ph: (985) 773-8882 | Susan L. Josephson, Inc. 5001 Highway 190 East Service Rd Covington LA 70433-4930 Ph: (985) 773-8882 |
| NPI Number | 1275850703 |
|---|---|
| Provider Enumeration Date | 04/23/2010 |
| Last Update Date | 06/03/2010 |
| Medicare PECOS PAC ID | 0143359034 |
|---|---|
| Medicare Enrollment ID | O20100602000924 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275850703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1438 (Louisiana) | Primary |
| Provider Name | Susan L Josephson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366535486 PECOS PAC ID: 8325059942 Enrollment ID: I20060511000001 |
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