| Madeleine Shaver, Lcsw Llc | |
|
700 Commercial Ct Ste 102 Savannah GA 31406-3675 | |
| (912) 272-5744 | |
| (912) 335-6559 |
| Full Name | Madeleine Shaver, Lcsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 700 Commercial Ct Ste 102, Savannah, Georgia |
| Authorized Official Name and Position | Madeleine Shaver (OWNER) |
| Authorized Official Contact | 9122725744 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Madeleine Shaver, Lcsw Llc 700 Commercial Ct Ste 102 Savannah GA 31406-3675 Ph: () - | Madeleine Shaver, Lcsw Llc 700 Commercial Ct Ste 102 Savannah GA 31406-3675 Ph: (912) 272-5744 |
| NPI Number | 1578070504 |
|---|---|
| Provider Enumeration Date | 12/28/2017 |
| Last Update Date | 12/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578070504 | NPI | - | NPPES |
| 1477880383 | Other | GA | CORESOURSE |
| 1477880383 | Other | GA | UMR |
| 1477880383 | Other | GA | TRICARE STANDARD |
| 1477880383 | Other | GA | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC009266 (Georgia) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW004705 (Georgia) | Primary |
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