Mrs Dana Vice, LCSW | |
222 Phillip Stone Way, Central City, KY 42330-1929 | |
(270) 754-3494 | |
Not Available |
Full Name | Mrs Dana Vice |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 222 Phillip Stone Way, Central City, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164172037 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 256610 (Kentucky) | Primary |
Entity Name | A New Start Ii, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467823328 PECOS PAC ID: 6204170848 Enrollment ID: O20181207001632 |
Entity Name | A New Start Primary Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043796733 PECOS PAC ID: 8123362779 Enrollment ID: O20201204001956 |
Entity Name | Raven Rock Health &wellness |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144978594 PECOS PAC ID: 3173904174 Enrollment ID: O20220722000533 |
Entity Name | Partners Healthcare Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457076606 PECOS PAC ID: 1052789666 Enrollment ID: O20221201000836 |
Mailing Address | Practice Location Address |
---|---|
Mrs Dana Vice, LCSW 2400 Gravel Rd, Carlisle, KY 40311-8063 Ph: (859) 585-0512 | Mrs Dana Vice, LCSW 222 Phillip Stone Way, Central City, KY 42330-1929 Ph: (270) 754-3494 |
Mallory Moore, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 109 S 2nd St, Central City, KY 42330 Phone: 270-931-5113 Fax: 270-754-4633 | |
Amanda S. Cecil, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 600 W Everly Brothers Blvd, Central City, KY 42330 Phone: 270-903-6099 | |
Chaslyn Eve-anmarie Bruner, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 222 Phillip Stone Way, Central City, KY 42330 Phone: 866-934-4611 |