| Breanna M Ward, LSCSW | |
|
1978 E 4th St, Pittsburg, KS 66762-9100 | |
| (620) 670-3896 | |
| Not Available |
| Full Name | Breanna M Ward |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1978 E 4th St, Pittsburg, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811491145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 05445 (Kansas) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 161409 (Puerto Rico) | Secondary |
| Entity Name | Community Health Center Of Southeast Kansas Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669474425 PECOS PAC ID: 7911816392 Enrollment ID: O20040209000163 |
| Mailing Address | Practice Location Address |
|---|---|
| Breanna M Ward, LSCSW Po Box 1832, Pittsburg, KS 66762-1832 Ph: (620) 231-9873 | Breanna M Ward, LSCSW 1978 E 4th St, Pittsburg, KS 66762-9100 Ph: (620) 670-3896 |
Vanessa Marie De Luna, LSCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3011 N Michigan St, Pittsburg, KS 66762 Phone: 620-231-9873 | |
Ms. Anita Celeste Dickens, L.C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3101 N Michigan St Ste C, Pittsburg, KS 66762 Phone: 620-231-1069 Fax: 620-231-2997 | |
Christine Faye Jenkins, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3101 N Michigan St Ste C, Pittsburg, KS 66762 Phone: 620-231-1069 Fax: 620-231-2997 | |
Mr. Kent R. Noble, LSCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 911 E Centennial Dr, Pittsburg, KS 66762 Phone: 620-231-5130 | |
Sandra L Krusich, LSCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Mt Carmel Way, Pittsburg, KS 66762 Phone: 620-235-7940 Fax: 620-235-7908 | |
Sandra Cullison, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3011 N Michigan St, Pittsburg, KS 66762 Phone: 620-231-9873 | |
Kristen R Durbin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3011 N Michigan St, Pittsburg, KS 66762 Phone: 620-231-9873 |