Danielle Larae Laratta, LICSW | |
207 Fairmont Ave, Fairmont, WV 26554-2710 | |
(681) 404-6869 | |
Not Available |
Full Name | Danielle Larae Laratta |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 207 Fairmont Ave, Fairmont, 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 |
---|---|---|---|
1417627555 | NPI | - | NPPES |
DP00943635 | Other | WV | SOCIAL WORK LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | DP00943635 (West Virginia) | Primary |
Entity Name | Appalachian Counseling Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568928877 PECOS PAC ID: 5597115782 Enrollment ID: O20231229002926 |
Mailing Address | Practice Location Address |
---|---|
Danielle Larae Laratta, LICSW 207 Fairmont Ave, Fairmont, WV 26554-2710 Ph: (681) 404-6869 | Danielle Larae Laratta, LICSW 207 Fairmont Ave, Fairmont, WV 26554-2710 Ph: (681) 404-6869 |
Michael Charles Richards, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 118 Adams St, Suite 203, Fairmont, WV 26554 Phone: 681-404-6094 | |
Travis Hogbin, MSW, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 207 Fairmont Ave, Fairmont, WV 26554 Phone: 681-404-6859 | |
Mr. Aaron M. Vedock, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 708 Old Hickory Dr, Fairmont, WV 26554 Phone: 304-365-4396 | |
Mrs. Aimee Nicole Jordan, MSW, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3 Crosswind Dr, Fairmont, WV 26554 Phone: 304-894-5167 | |
Ms. Lindsay Smith, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 207 Fairmont Ave, Fairmont, WV 26554 Phone: 681-404-6869 | |
Stephanie Lee King Strickland, MSW, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14 E Grafton Rd Ste C, Fairmont, WV 26554 Phone: 681-758-9311 | |
Mr. Michael Eric Coffman Jr., MSW, LGSW, CAC,ICADC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 448 Leonard Ave, Fairmont, WV 26554 Phone: 304-366-7174 |