Alisha Delacruz, LCSW | |
7319 Balmer St # 546, Hill Afb, UT 84056-5012 | |
(801) 777-3497 | |
Not Available |
Full Name | Alisha Delacruz |
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Gender | Female |
Speciality | Social Worker |
Location | 7319 Balmer St # 546, Hill Afb, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003354119 | NPI | - | NPPES |
MSW007607 | Other | GA | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 10882419-3501 (Utah) | Secondary |
104100000X | Social Worker | MSW007607 (Georgia) | Primary |
Entity Name | No Barking Enterprises, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235721382 PECOS PAC ID: 6204243504 Enrollment ID: O20210405000750 |
Mailing Address | Practice Location Address |
---|---|
Alisha Delacruz, LCSW 7319 Balmer St # 546, Hill Afb, UT 84056-5012 Ph: (801) 777-3497 | Alisha Delacruz, LCSW 7319 Balmer St # 546, Hill Afb, UT 84056-5012 Ph: (801) 777-3497 |
Kelly Johnson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 75 Mdg, Mental Health Clinic, 7309 Balmer Street, Bldg 545, Hill Afb, UT 84056 Phone: 801-777-7909 | |
Stephanie Mullins, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7321 Balmer St Bldg 570, Hill Afb, UT 84056 Phone: 801-777-7909 | |
Dr. Betsy Nicholson Callahan, DSW LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Lifeskills Support Ctr, Hill Air Force Base, Hill Afb, UT 84056 Phone: 801-777-7909 Fax: 801-777-4490 | |
Julie A Pinchak, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7329 11th St Bldg 547, 75 Mdos/sgohf, Hill Afb, UT 84056 Phone: 801-777-3497 Fax: 801-586-4011 | |
Katherine A Coffman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7321 Balmer St Bldg 570, Hill Afb, UT 84056 Phone: 801-777-7909 | |
Ms. Sara Ann Baxter, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7321 Balmer St Bldg 570, Hill Afb, UT 84056 Phone: 828-421-8381 |