| M Jill Jones Lisw-cp Llc | |
|
110 Manly St Greenville SC 29601-3025 | |
| (864) 298-8026 | |
| (864) 298-8032 |
| Full Name | M Jill Jones Lisw-cp Llc |
|---|---|
| Speciality | Social Worker |
| Location | 110 Manly St, Greenville, South Carolina |
| Authorized Official Name and Position | Margaret Jill Jones (OWNER/MANAGER/PROVIDER) |
| Authorized Official Contact | 8642988026 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| M Jill Jones Lisw-cp Llc 110 Manly St Greenville SC 29601-3025 Ph: (864) 298-8026 | M Jill Jones Lisw-cp Llc 110 Manly St Greenville SC 29601-3025 Ph: (864) 298-8026 |
| NPI Number | 1063001386 |
|---|---|
| Provider Enumeration Date | 01/12/2021 |
| Last Update Date | 01/12/2021 |
| Certification Date | 01/12/2021 |
| Medicare PECOS PAC ID | 6709290638 |
|---|---|
| Medicare Enrollment ID | O20210203003097 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063001386 | NPI | - | NPPES |
| SW1243 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Margaret Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720224363 PECOS PAC ID: 6507922010 Enrollment ID: I20090309000413 |
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