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NPI Code Detail

MEDICARE: JANET WARD LCSW

MEDICARE:   JANET  WARD  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerMC14374ME
21041C0700XClinical Social WorkerCSW006025GA

General Provider Information

NPI Number : 1093149171
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANET WARD LCSW
Provider Business Mailing Address
First Line : 106 OKATEE CT
Second Line :
City : SAVANNAH
State : GA
Zip : 31410-3819
Country : US
Telephone Number : 912-704-4520
Fax Number :
Provider Business Practice Location Address
First Line : 2 ROBERTS ST
Second Line :
City : SAVANNAH
State : GA
Zip : 31408-3524
Country : US
Telephone Number : 912-527-2710
Fax Number : 912-527-1002
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2013
Last Update Date : 03/24/2021

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