| The Social Work Agency, Llc | |
|
908 W Judge Perez Dr Suite D Chalmette LA 70043-4773 | |
| (504) 453-7698 | |
| Not Available |
| Full Name | The Social Work Agency, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 908 W Judge Perez Dr, Chalmette, Louisiana |
| Authorized Official Name and Position | Tonja Chopfield Jackson (CEO) |
| Authorized Official Contact | 5042615211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Social Work Agency, Llc 908 W Judge Perez Dr Suite D Chalmette LA 70043-4773 Ph: (504) 453-7698 | The Social Work Agency, Llc 908 W Judge Perez Dr Suite D Chalmette LA 70043-4773 Ph: (504) 453-7698 |
| NPI Number | 1427434869 |
|---|---|
| Provider Enumeration Date | 08/08/2015 |
| Last Update Date | 08/08/2015 |
| Medicare PECOS PAC ID | 1951664705 |
|---|---|
| Medicare Enrollment ID | O20180410000895 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427434869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Louisiana) | Secondary |
| 1041C0700X | Social Worker - Clinical | (Louisiana) | Primary |
| Provider Name | Tonja Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922482843 PECOS PAC ID: 3173886926 Enrollment ID: I20180508000483 |
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