Crystal Gerlock, LCSW | |
1207 Pueblo Boulevard Way, Pueblo, CO 81005-2175 | |
(719) 542-0032 | |
(719) 542-1413 |
Full Name | Crystal Gerlock |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 16 Years |
Location | 1207 Pueblo Boulevard Way, Pueblo, Colorado |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558917898 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CSW.09926109 (Colorado) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
A New Leaf Therapy Pllc | 8628346582 | 9 |
Entity Name | A New Leaf Therapy Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194111500 PECOS PAC ID: 8628346582 Enrollment ID: O20170616001780 |
Mailing Address | Practice Location Address |
---|---|
Crystal Gerlock, LCSW 1207 Pueblo Boulevard Way, Pueblo, CO 81005-2175 Ph: (719) 542-0032 | Crystal Gerlock, LCSW 1207 Pueblo Boulevard Way, Pueblo, CO 81005-2175 Ph: (719) 542-0032 |
James Arthur Hull, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1002 Cedar St, Pueblo, CO 81004 Phone: 719-545-0578 | |
Ms. Mary Alice Mehess, LCSW, LAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 20 Tamar Ct, Pueblo, CO 81005 Phone: 719-568-2531 | |
Karen Marie Irick, LCSW, LAC Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1530 W 17th St, Pueblo, CO 81003 Phone: 719-544-3150 | |
Justin M Gay, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4776 Eagleridge Cir, Pueblo, CO 81008 Phone: 719-584-5183 Fax: 719-584-5496 | |
Prudencio Cosyleon, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 417 W 13th St, Pueblo, CO 81003 Phone: 719-544-0877 Fax: 719-544-2033 | |
Amy Joan Alsum, MSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4112 Outlook Blvd Ste 96, Pueblo, CO 81008 Phone: 719-776-6850 Fax: 719-776-6855 | |
Patricia Pacheco, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1591 Taos Rd, Pueblo, CO 81006 Phone: 719-545-2746 Fax: 719-195-4541 |