| Ann Priddy Lcsw Pc | |
|
1511 W 3rd Ave Suite 104 Albany GA 31707-3695 | |
| (229) 483-5050 | |
| (229) 485-1103 |
| Full Name | Ann Priddy Lcsw Pc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1511 W 3rd Ave, Albany, Georgia |
| Authorized Official Name and Position | Ann S. Priddy (OWNER) |
| Authorized Official Contact | 2294835050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ann Priddy Lcsw Pc 1511 W 3rd Ave Suite 104 Albany GA 31707-3695 Ph: (229) 483-5050 | Ann Priddy Lcsw Pc 1511 W 3rd Ave Suite 104 Albany GA 31707-3695 Ph: (229) 483-5050 |
| NPI Number | 1134489503 |
|---|---|
| Provider Enumeration Date | 05/20/2012 |
| Last Update Date | 06/11/2012 |
| Medicare PECOS PAC ID | 4082879622 |
|---|---|
| Medicare Enrollment ID | O20120703000508 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134489503 | NPI | - | NPPES |
| 899829779A | Medicaid | GA | |
| 1982688198 | Other | GA | INDIVIDUAL NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CSW001337 (Georgia) | Primary |
| Provider Name | Ann S Priddy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982688198 PECOS PAC ID: 8426224569 Enrollment ID: I20111220000704 |
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