| Social Work Ceo, Llc | |
|
5663 Greenland Rd Jacksonville FL 32258-3329 | |
| (904) 302-9355 | |
| (844) 528-1420 |
| Full Name | Social Work Ceo, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 5663 Greenland Rd, Jacksonville, Florida |
| Authorized Official Name and Position | Natonia S Davis (OWNER/PROVIDER) |
| Authorized Official Contact | 8137605810 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Social Work Ceo, Llc 6501 Arlington Expy Ste B105 Jacksonville FL 32211-0810 Ph: (904) 302-9355 | Social Work Ceo, Llc 5663 Greenland Rd Jacksonville FL 32258-3329 Ph: (904) 302-9355 |
| NPI Number | 1235825092 |
|---|---|
| Provider Enumeration Date | 04/14/2023 |
| Last Update Date | 04/14/2023 |
| Certification Date | 04/14/2023 |
| Medicare PECOS PAC ID | 5799140901 |
|---|---|
| Medicare Enrollment ID | O20230421002414 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235825092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Natonia Sherie Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154645240 PECOS PAC ID: 3173824869 Enrollment ID: I20230421002348 |
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