Alexis Sandoval, LCSW | |
2246 Boot Hill Ct Ste 4, Bozeman, MT 59715-7248 | |
(406) 879-2305 | |
Not Available |
Full Name | Alexis Sandoval |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 9 Years |
Location | 2246 Boot Hill Ct Ste 4, Bozeman, Montana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245523836 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | BBH-LCSW-LIC-38823 (Montana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Mental Health Pllc | 8921341157 | 2 |
Entity Name | Providence Mental Health Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194291609 PECOS PAC ID: 8921341157 Enrollment ID: O20190509002756 |
Mailing Address | Practice Location Address |
---|---|
Alexis Sandoval, LCSW 2555 W College St Apt 7, Bozeman, MT 59718-3948 Ph: (406) 223-3904 | Alexis Sandoval, LCSW 2246 Boot Hill Ct Ste 4, Bozeman, MT 59715-7248 Ph: (406) 879-2305 |
Heather Jodene Linn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6108 W Shadow Dr, Bozeman, MT 59715 Phone: 206-673-6973 | |
Dena Fromberg, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 714 Stoneridge Dr Ste 1, Bozeman, MT 59718 Phone: 406-209-8711 | |
Sarah Marsh, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1610 Ellis St Ste 1a, Bozeman, MT 59715 Phone: 206-482-9120 | |
Barbara Ann Lair-murry, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1087 Stoneridge Dr, Suite 2c, Bozeman, MT 59718 Phone: 406-586-9251 | |
Christine S. Visscher, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 333 Haggerty Ln Ste 14, Bozeman, MT 59715 Phone: 406-586-3767 Fax: 406-586-2326 | |
Vivienne K Riseley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 115 W Kagy Blvd Ste O, Bozeman, MT 59715 Phone: 406-282-3055 | |
Carlynn Schwalm, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 321 E Main St Ste 417f, Bozeman, MT 59715 Phone: 406-599-0175 |