Daniel J Jardine, LCSW | |
1490 Grimes St, Fallon, NV 89406-3103 | |
(775) 423-1412 | |
Not Available |
Full Name | Daniel J Jardine |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 1490 Grimes St, Fallon, Nevada |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336472679 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6287-C (Nevada) | Primary |
Entity Name | State Of Nevada |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760572010 PECOS PAC ID: 9234022153 Enrollment ID: O20040212000160 |
Mailing Address | Practice Location Address |
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Daniel J Jardine, LCSW 800 Augusta Ln, Fallon, NV 89406-3472 Ph: (208) 569-8920 | Daniel J Jardine, LCSW 1490 Grimes St, Fallon, NV 89406-3103 Ph: (775) 423-1412 |
Susan Louise Stark, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1001 Rio Vista Dr, Fallon, NV 89406 Phone: 775-213-3274 | |
Shana Samantha Plount, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1490 Grimes St, Fallon, NV 89406 Phone: 775-423-1412 | |
Spencer Kelsey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 345 W A St, Fallon, NV 89406 Phone: 775-428-6173 | |
Mary Clement, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1020 New River Pkwy, Fallon, NV 89406 Phone: 775-867-7254 | |
Jessica Homer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 20 N Ada St, Fallon, NV 89406 Phone: 775-391-6088 | |
Kay D Riehm, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 270 S Maine St # 8, Fallon, NV 89406 Phone: 775-423-5381 Fax: 775-423-4930 |