| Suzanne Pauratore, Lcsw, Inc. | |
|
417 Briargrove Dr Slidell LA 70458-1702 | |
| (985) 649-2549 | |
| (985) 649-2549 |
| Full Name | Suzanne Pauratore, Lcsw, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 417 Briargrove Dr, Slidell, Louisiana |
| Authorized Official Name and Position | Suzanne Pauratore (PRESIDENT) |
| Authorized Official Contact | 9856492549 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suzanne Pauratore, Lcsw, Inc. 417 Briargrove Dr Slidell LA 70458-1702 Ph: (985) 649-2549 | Suzanne Pauratore, Lcsw, Inc. 417 Briargrove Dr Slidell LA 70458-1702 Ph: (985) 649-2549 |
| NPI Number | 1689987786 |
|---|---|
| Provider Enumeration Date | 07/17/2010 |
| Last Update Date | 07/17/2010 |
| Medicare PECOS PAC ID | 8224297916 |
|---|---|
| Medicare Enrollment ID | O20120315000841 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689987786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1494 (Louisiana) | Primary |
| Provider Name | Suzanne M Pauratore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124077037 PECOS PAC ID: 0244416386 Enrollment ID: I20110525000432 |
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