Social Work Ceo, Llc - Medicare Mental Health Clinic in Jacksonville, FL

Social Work Ceo, Llc is a medicare enrolled mental health clinic (Social Worker - Clinical) in Jacksonville, Florida. The current practice location for Social Work Ceo, Llc is 5663 Greenland Rd, Jacksonville, Florida. For appointments, you can reach them via phone at (904) 302-9355. The mailing address for Social Work Ceo, Llc is 6501 Arlington Expy Ste B105, Jacksonville, Florida and phone number is (904) 302-9355.

Social Work Ceo, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1235825092. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (904) 302-9355.

Contact Information

Social Work Ceo, Llc
5663 Greenland Rd
Jacksonville
FL 32258-3329
(904) 302-9355
(844) 528-1420

Mental Health Clinic Profile

Full NameSocial Work Ceo, Llc
SpecialitySocial Worker
Location5663 Greenland Rd, Jacksonville, Florida
Authorized Official Name and PositionNatonia S Davis (OWNER/PROVIDER)
Authorized Official Contact8137605810
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Social Work Ceo, Llc
6501 Arlington Expy Ste B105
Jacksonville
FL 32211-0810

Ph: (904) 302-9355
Social Work Ceo, Llc
5663 Greenland Rd
Jacksonville
FL 32258-3329

Ph: (904) 302-9355

NPI Details:

NPI Number1235825092
Provider Enumeration Date04/14/2023
Last Update Date04/14/2023
Certification Date04/14/2023

Medicare PECOS Information:

Medicare PECOS PAC ID5799140901
Medicare Enrollment IDO20230421002414

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› Verified 4 days ago

Medical Identifiers

Medical identifiers for Social Work Ceo, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235825092NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Secondary
1041C0700XSocial Worker - Clinical (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Social Work Ceo, Llc acts as a billing entity for following providers:
Provider NameNatonia Sherie Davis
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1154645240
PECOS PAC ID: 3173824869
Enrollment ID: I20230421002348

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› Verified 4 days ago

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