Aimee Benton Wickersham, LCSW | |
15593 W Mackenzie Dr, Goodyear, AZ 85395-7779 | |
(321) 961-3393 | |
Not Available |
Full Name | Aimee Benton Wickersham |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 15593 W Mackenzie Dr, Goodyear, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104426204 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW-18914 (Arizona) | Primary |
Entity Name | Live Life Now Health Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770111429 PECOS PAC ID: 9537581897 Enrollment ID: O20210720003958 |
Mailing Address | Practice Location Address |
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Aimee Benton Wickersham, LCSW 15593 W Mackenzie Dr, Goodyear, AZ 85395-7779 Ph: (321) 961-3393 | Aimee Benton Wickersham, LCSW 15593 W Mackenzie Dr, Goodyear, AZ 85395-7779 Ph: (321) 961-3393 |
Mr. James W Stocks., LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2620 N. 140th Ave, Suite 101, Goodyear, AZ 85395 Phone: 623-536-7956 Fax: 623-536-9806 | |
Samantha Armes, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 140 N Litchfield Rd Ste 106, Goodyear, AZ 85338 Phone: 602-323-3344 | |
Amber Enriquez, LCSW, C-ACYFSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 N Estrella Pkwy Ste B2-272, Goodyear, AZ 85338 Phone: 602-699-6171 Fax: 833-474-1228 | |
Danielle Japenga, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 250 N Litchfield Rd Ste 201, Goodyear, AZ 85338 Phone: 623-337-2275 Fax: 623-800-7626 | |
Ms. Shawna Kuhl, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 250 N Litchfield Rd Ste 260, Goodyear, AZ 85338 Phone: 623-337-2275 Fax: 623-800-7626 | |
Michelle Enenbach, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 140 N Litchfield Rd Ste 200, Goodyear, AZ 85338 Phone: 602-243-7277 |