| Williamson Mental Health | |
|
585 Rucker St Madison WV 25130-1129 | |
| (304) 761-4310 | |
| Not Available |
| Full Name | Williamson Mental Health |
|---|---|
| Speciality | Social Worker |
| Location | 585 Rucker St, Madison, West Virginia |
| Authorized Official Name and Position | Sarah Davis-williamson (OWNER) |
| Authorized Official Contact | 3047614310 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Williamson Mental Health 585 Rucker St Madison WV 25130-1129 Ph: (304) 761-4310 | Williamson Mental Health 585 Rucker St Madison WV 25130-1129 Ph: (304) 761-4310 |
| NPI Number | 1053191726 |
|---|---|
| Provider Enumeration Date | 10/02/2023 |
| Last Update Date | 11/21/2023 |
| Certification Date | 11/21/2023 |
| Medicare PECOS PAC ID | 7214378405 |
|---|---|
| Medicare Enrollment ID | O20240520001034 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053191726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sarah Davis-williamson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104408905 PECOS PAC ID: 4284032079 Enrollment ID: I20211008000503 |
Boone Memorial Hospital, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 467 Main St Ste 3, Madison, WV 25130 Phone: 304-369-7876 | |
Cornerstone Family Interventions, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Avenue C, Suite 109, Madison, WV 25130 Phone: 304-369-5283 Fax: 304-369-9130 | |
Boone Memorial Hospital, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 467 Main St Ste 3, Madison, WV 25130 Phone: 304-369-1230 |