Provider Demographics
NPI:1356490304
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:706-200-8677
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:912-638-0350
Mailing Address - Fax:706-736-8184
Practice Address - Street 1:1727 WRIGHTSBORO RD STE B
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30904-4049
Practice Address - Country:US
Practice Address - Phone:912-638-0350
Practice Address - Fax:706-736-8184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEK935294251S00000X
251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000902063LMedicaid
GA000902063UMedicaid
GA000902063FMedicaid
GA000902063VMedicaid
GA000902063MMedicaid
GA000902063SMedicaid
GA000902063UMedicaid
GA000902063FMedicaid
GA000902063LMedicaid
GA000902063PMedicaid
GA000902063VMedicaid
GA000902063GMedicaid
GA000902063NMedicaid
GA000902063IMedicaid
GA000902063QMedicaid
GA000902063RMedicaid