Underdue Social Services

LBN: Underdue Social Services
Underdue Social Services is an health care organization with primary practice located at 165 Burke St Suite 109, Stockbridge GA 30281-3463. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Underdue Social Services can be contacted via phone (770) 389-9886, or through Underdue, Kimberly via phone (770) 389-9886.

Contact Information

Primary practice address
165 Burke St Suite 109 Stockbridge GA 30281-3463
Fax:
Website:
Authorized official contact:
Name: Underdue, Kimberly Licensed Clinical Social Worker (LCSW)

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1871634824
LBN Legal business name Underdue Social Services
DBA Doing business as
Authorized official Underdue, Kimberly Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2007
Last updated Dec 14th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871634824 NPPES
Georgia Other 10048022 AMERIGROUP
Georgia Other 205814758A AMERIGROUP
Georgia MEDICAID 205814758A AMERIGROUP
Georgia Other 833744000 AMERIGROUP

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