Anna Mamo, LCSW | |
208 Medical Park Blvd, Bristol, TN 37620-7343 | |
(423) 979-4050 | |
Not Available |
Full Name | Anna Mamo |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 208 Medical Park Blvd, Bristol, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346649183 | NPI | - | NPPES |
Q083144 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | C005938 (North Carolina) | Primary |
Entity Name | Blue Ridge Community Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225029051 PECOS PAC ID: 3173434743 Enrollment ID: O20040402000411 |
Entity Name | Blue Ridge Community Health Services Inc |
---|---|
Entity Type | Part B Supplier - Public Health/welfare Agency |
Entity Identifiers | NPI Number: 1437593787 PECOS PAC ID: 3173434743 Enrollment ID: O20140319000572 |
Entity Name | Blue Ridge Community Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750757803 PECOS PAC ID: 3173434743 Enrollment ID: O20160209000022 |
Entity Name | Blue Ridge Community Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407200264 PECOS PAC ID: 3173434743 Enrollment ID: O20161213001360 |
Entity Name | Blue Ridge Community Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679137558 PECOS PAC ID: 3173434743 Enrollment ID: O20200416000440 |
Mailing Address | Practice Location Address |
---|---|
Anna Mamo, LCSW Po Box 699, Mountain Home, TN 37684-0699 Ph: () - | Anna Mamo, LCSW 208 Medical Park Blvd, Bristol, TN 37620-7343 Ph: (423) 979-4050 |
David B Miller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6 6th St, Suite 205 Central Building, Bristol, TN 37620 Phone: 423-968-2225 Fax: 423-968-2225 | |
Harlow M Rhudy, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1145 Volunteer Pkwy, Bristol, TN 37620 Phone: 423-989-4500 Fax: 423-899-4582 | |
Karen Fleenor, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 126 Martin Luther King Jr Blvd, Bristol, TN 37620 Phone: 423-646-4247 Fax: 833-276-0046 | |
Lindsay R Varnadore, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 26 Midway St, Bristol, TN 37620 Phone: 423-989-4500 Fax: 423-989-4582 | |
Dina Marie Duden, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 26 Midway St, Bristol, TN 37620 Phone: 423-989-4500 Fax: 423-467-3644 | |
Ms. M Susan Shipley, LCSW, ACSW, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 523 Holston Ave, Bristol, TN 37620 Phone: 423-968-5050 |