| The Social Empowerment Center | |
|
2775 Cruse Rd Ste 901 Lawrenceville GA 30044-7143 | |
| (770) 925-2095 | |
| (866) 468-1886 |
| Full Name | The Social Empowerment Center |
|---|---|
| Speciality | Social Worker |
| Location | 2775 Cruse Rd Ste 901, Lawrenceville, Georgia |
| Authorized Official Name and Position | Rachelle Dinet Hutchinson (CO-OWNER) |
| Authorized Official Contact | 7709252095 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Social Empowerment Center 2775 Cruse Rd Ste 901 Lawrenceville GA 30044-7143 Ph: (770) 925-2095 | The Social Empowerment Center 2775 Cruse Rd Ste 901 Lawrenceville GA 30044-7143 Ph: (770) 925-2095 |
| NPI Number | 1548324833 |
|---|---|
| Provider Enumeration Date | 12/20/2006 |
| Last Update Date | 10/27/2023 |
| Certification Date | 10/27/2023 |
| Medicare PECOS PAC ID | 6002918646 |
|---|---|
| Medicare Enrollment ID | O20070228000085 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548324833 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW003550 (Georgia) | Primary |
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