| The Social Work Hub Llc | |
|
396 North Main Street Sibley LA 71073 | |
| (346) 857-9164 | |
| Not Available |
| Full Name | The Social Work Hub Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 396 North Main Street, Sibley, Louisiana |
| Authorized Official Name and Position | Direne Johnson (OWNER) |
| Authorized Official Contact | 3189479084 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Social Work Hub Llc Po Box 134 Sibley LA 71073-0134 Ph: () - | The Social Work Hub Llc 396 North Main Street Sibley LA 71073 Ph: (346) 857-9164 |
| NPI Number | 1497372429 |
|---|---|
| Provider Enumeration Date | 06/25/2020 |
| Last Update Date | 10/07/2022 |
| Certification Date | 10/07/2022 |
| Medicare PECOS PAC ID | 3870910334 |
|---|---|
| Medicare Enrollment ID | O20200828000768 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497372429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Direne Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851913826 PECOS PAC ID: 4789001249 Enrollment ID: I20200828000794 |
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