| Lillian H Ogle Lcsw Pc | |
|
468 E. Main St., Suite 100 Johnson Center Abingdon VA 24210 | |
| (276) 628-2140 | |
| (276) 628-2140 |
| Full Name | Lillian H Ogle Lcsw Pc |
|---|---|
| Speciality | Social Worker |
| Location | 468 E. Main St., Suite 100 Johnson Center, Abingdon, Virginia |
| Authorized Official Name and Position | Lillian H Ogle (PRESIDENT) |
| Authorized Official Contact | 2764292114 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lillian H Ogle Lcsw Pc Po Box 394 Glade Spring VA 24340-0394 Ph: (276) 429-2114 | Lillian H Ogle Lcsw Pc 468 E. Main St., Suite 100 Johnson Center Abingdon VA 24210 Ph: (276) 628-2140 |
| NPI Number | 1821181736 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 03/04/2020 |
| Certification Date | 03/04/2020 |
| Medicare PECOS PAC ID | 2961681226 |
|---|---|
| Medicare Enrollment ID | O20110119000929 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821181736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904001976 (Virginia) | Primary |
| Provider Name | Lillian H Ogle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952304644 PECOS PAC ID: 8628006095 Enrollment ID: I20050728000223 |
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