| Elizabeth Angwin Lcsw Llc | |
|
750 Laurel Ranch Rd Bozeman MT 59715-8221 | |
| (406) 548-7198 | |
| Not Available |
| Full Name | Elizabeth Angwin Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 750 Laurel Ranch Rd, Bozeman, Montana |
| Authorized Official Name and Position | Elizabeth B Angwin (PRESIDENT) |
| Authorized Official Contact | 4065487198 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Angwin Lcsw Llc 750 Laurel Ranch Rd Bozeman MT 59715-8221 Ph: (406) 548-7198 | Elizabeth Angwin Lcsw Llc 750 Laurel Ranch Rd Bozeman MT 59715-8221 Ph: (406) 548-7198 |
| NPI Number | 1376197087 |
|---|---|
| Provider Enumeration Date | 07/31/2019 |
| Last Update Date | 07/31/2019 |
| Medicare PECOS PAC ID | 2860825262 |
|---|---|
| Medicare Enrollment ID | O20191125001744 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376197087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Elizabeth B Angwin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982099677 PECOS PAC ID: 5890013981 Enrollment ID: I20150422000894 |
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