Judy B Laxton, LCSW PIP
Individual provider Active NPI Clinical Social Worker · Mt Vernon, AL
NPI 1487708335 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1487708335
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- PIP0130232C (AL)
- Practice address
- 725 East Coy Smith Highway
Mt Vernon, AL 36560 - Phone
- (251) 662-6700
- Fax
- (251) 829-5385
- NPI assigned
- Jan 22, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PIP0130232C | AL | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | PIP0130232C | AL | Yes |
Addresses
Primary practice location
725 East Coy Smith Highway
Mt Vernon, AL 36560
Mailing address
PO Box 1090
Mt Vernon, AL 36560
Phone (251) 662-6700
Other names
- Judy Brickley
Other providers in Mt Vernon, AL
- Christian S Hildreth
- Justin Zackary Jeffus
- Rajani S Joshi
- Amee Kozlovski
- Dustrine B Lambert Sr.
- Angela L Lewis
- Leslie Norwood Mallon
- McConaghy Drug , Inc
- Joanna McCraney
- Mobile County Board of Health
All providers in Mt Vernon, AL · Clinical Social Worker in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.