Bridgette Herrin Mavec, LCSW | |
7830 Caenen St, Lenexa, KS 66216-3326 | |
(913) 208-3985 | |
Not Available |
Full Name | Bridgette Herrin Mavec |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 7830 Caenen St, Lenexa, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265031579 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2003020965 (Missouri) | Primary |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210812000440 |
Mailing Address | Practice Location Address |
---|---|
Bridgette Herrin Mavec, LCSW 7830 Caenen St, Lenexa, KS 66216-3326 Ph: (913) 208-3985 | Bridgette Herrin Mavec, LCSW 7830 Caenen St, Lenexa, KS 66216-3326 Ph: (913) 208-3985 |
Mary B. Sheridan, LSCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12760 W 87th Street Pkwy, Suite 108, Lenexa, KS 66215 Phone: 913-441-1200 | |
Brianne Jewell, LSCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16979 W 94th St Ste D, Lenexa, KS 66219 Phone: 913-575-4354 | |
Leonor I Ibarra, LCSW, LSCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8629 Bluejacket St, Suite 1000, Lenexa, KS 66214 Phone: 913-677-3553 Fax: 913-677-3282 | |
Misty Schaefer, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7940 Marshall Dr, Lenexa, KS 66214 Phone: 913-499-8100 Fax: 913-499-8111 | |
Annalisa Bowlin Salmostanton, LMSW-T Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12760 W 87th Street Pkwy Ste 108, Lenexa, KS 66215 Phone: 913-735-5210 | |
Ms. Lisa Jane St. Aubyn, LSCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13626 W 95th St, Lenexa, KS 66215 Phone: 913-317-8821 Fax: 913-541-8030 |