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Contact Information

MARY KATHLEEN WEST LCSW, INC
201 COVE RD
JASPER, GA30143
 Phone: 706-253-9515
 Fax: 706-253-9516
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for MARY KATHLEEN WEST LCSW, INC

NPI # 1447586268
LBN Legal business name MARY KATHLEEN WEST LCSW, INC
Authorized official MARY WEST - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/29/2009
Last updated 10/09/2020 - About 6 years ago
Identifiers
GA License # CSW1362
GA Medicaid 939149656A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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