| Allyson Warshaw, Lcsw Llc | |
|
4045 Ernest Street Lake Charles LA 70605-3421 | |
| (337) 515-7973 | |
| Not Available |
| Full Name | Allyson Warshaw, Lcsw Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4045 Ernest Street, Lake Charles, Louisiana |
| Authorized Official Name and Position | Allyson Warshaw (OWNER) |
| Authorized Official Contact | 3375157973 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allyson Warshaw, Lcsw Llc 4045 Ernest Street Lake Charles LA 70605-3421 Ph: (337) 515-7973 | Allyson Warshaw, Lcsw Llc 4045 Ernest Street Lake Charles LA 70605-3421 Ph: (337) 515-7973 |
| NPI Number | 1952844060 |
|---|---|
| Provider Enumeration Date | 11/21/2016 |
| Last Update Date | 12/12/2016 |
| Medicare PECOS PAC ID | 2264712058 |
|---|---|
| Medicare Enrollment ID | O20161214000425 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952844060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 12393 (Louisiana) | Primary |
| Provider Name | Allyson B Warshaw |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497204580 PECOS PAC ID: 5890075683 Enrollment ID: I20161214000627 |
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