Charleton M Charleston, LCSW | |
Us Hwy 491 North, Shiprock, NM 87420 | |
(505) 368-6001 | |
Not Available |
Full Name | Charleton M Charleston |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | Us Hwy 491 North, Shiprock, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205176831 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | C-09983 (New Mexico) | Primary |
Entity Name | Dhhs Phs Naihs Shiprock Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780639971 PECOS PAC ID: 0749193837 Enrollment ID: O20031105000809 |
Mailing Address | Practice Location Address |
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Charleton M Charleston, LCSW Po Box 160, Shiprock, NM 87420-0160 Ph: (505) 368-6001 | Charleton M Charleston, LCSW Us Hwy 491 North, Shiprock, NM 87420 Ph: (505) 368-6001 |
Zelda Gail Garcia, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6001 | |
Lillie L Reed, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Us Hwy 64 Old High School Rd, Shiprock, NM 87420 Phone: 505-368-5163 Fax: 505-368-5502 | |
Amber N Redhouse, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6001 | |
Pamela Bryan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-7301 | |
Lewis B Talk, MSW LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6401 Fax: 505-368-6431 | |
Tamara S Peshlakai, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6001 Fax: 505-368-6114 |