Brooke Fulscher Modlin, LICSW | |
1464 Jefferson St N, Lewisburg, WV 24901-1380 | |
(303) 523-9052 | |
Not Available |
Full Name | Brooke Fulscher Modlin |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1464 Jefferson St N, Lewisburg, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528748464 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | DP00946241 (West Virginia) | Primary |
Entity Name | West Virginia School Of Osteopathic Medicine Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871539296 PECOS PAC ID: 0941113427 Enrollment ID: O20031111000104 |
Entity Name | Monroe County Health Center Board Of Trustees |
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Entity Type | Part B Supplier - Public Health/welfare Agency |
Entity Identifiers | NPI Number: 1992734487 PECOS PAC ID: 3173432671 Enrollment ID: O20040330001675 |
Entity Name | West Virginia School Of Osteopathic Medicine Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013496991 PECOS PAC ID: 0941113427 Enrollment ID: O20210913003075 |
Entity Name | West Virginia School Of Osteopathic Medicine Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093220303 PECOS PAC ID: 0941113427 Enrollment ID: O20210914002817 |
Mailing Address | Practice Location Address |
---|---|
Brooke Fulscher Modlin, LICSW 622 Jefferson St S, Lewisburg, WV 24901-2016 Ph: (303) 523-9052 | Brooke Fulscher Modlin, LICSW 1464 Jefferson St N, Lewisburg, WV 24901-1380 Ph: (303) 523-9052 |
Ms. Tammy Lynn Showell, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 122 N Court St, Lewisburg, WV 24901 Phone: 304-667-6050 | |
Jamie L Crosier, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 403 Bell Dr, Lewisburg, WV 24901 Phone: 304-205-9327 | |
Eric C Ellison, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 163 Cottage Dr, Lewisburg, WV 24901 Phone: 304-647-5577 | |
Stacey J Lambert, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 100 Church St, Lewisburg, WV 24901 Phone: 304-645-3319 Fax: 304-645-6532 | |
Rachel Leah Levan, MSW,LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 203 S Jefferson St, Suite D, Lewisburg, WV 24901 Phone: 304-667-7410 | |
Susan E Vlajk, ACSW,LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 212 W Washington St, Lewisburg, WV 24901 Phone: 304-647-5826 |