| Dawn M. Jett, Lcsw, Llc | |
|
3540 Wheeler Rd Ste 210 Augusta GA 30909-1879 | |
| (706) 951-2182 | |
| Not Available |
| Full Name | Dawn M. Jett, Lcsw, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3540 Wheeler Rd Ste 210, Augusta, Georgia |
| Authorized Official Name and Position | Dawn M. Jett (OWNER) |
| Authorized Official Contact | 7069512182 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dawn M. Jett, Lcsw, Llc 2641 Raymond Ave Augusta GA 30904-5338 Ph: (706) 951-2182 | Dawn M. Jett, Lcsw, Llc 3540 Wheeler Rd Ste 210 Augusta GA 30909-1879 Ph: (706) 951-2182 |
| NPI Number | 1689033060 |
|---|---|
| Provider Enumeration Date | 02/15/2016 |
| Last Update Date | 01/26/2024 |
| Certification Date | 01/26/2024 |
| Medicare PECOS PAC ID | 1456876937 |
|---|---|
| Medicare Enrollment ID | O20250416003631 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689033060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CSW003221 (Georgia) | Primary |
| Provider Name | Dawn M Jett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265596274 PECOS PAC ID: 0648223750 Enrollment ID: I20050301000824 |
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