Provider Demographics
NPI:1093963720
Name:AMERICANWORK, LLC
Entity Type:Organization
Organization Name:AMERICANWORK, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STATE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:WATERS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:706-736-8170
Mailing Address - Street 1:1727 WRIGHTSBORO RD STE B
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30904-4049
Mailing Address - Country:US
Mailing Address - Phone:706-736-8170
Mailing Address - Fax:912-638-9030
Practice Address - Street 1:836 E. 65TH STREET
Practice Address - Street 2:SUITE 44
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-4496
Practice Address - Country:US
Practice Address - Phone:912-354-7077
Practice Address - Fax:912-354-7651
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMERICANWORK, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-09-06
Last Update Date:2021-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000902063LMedicaid
GA000902063LMedicaid