Deanna Vaughn Vitale, LSCSW | |
10301 Mayo Dr, Barling, AR 72923-1660 | |
(479) 494-5760 | |
(479) 484-8142 |
Full Name | Deanna Vaughn Vitale |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 10301 Mayo Dr, Barling, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710916911 | NPI | - | NPPES |
5Y300 | Other | AR | BLUE CROSS |
06070021300 | Other | AR | QUALCHOICE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 1241-C (Arkansas) | Primary |
Entity Name | Texarkana Behavioral Associates Lc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467483677 PECOS PAC ID: 9436062379 Enrollment ID: O20040223000353 |
Mailing Address | Practice Location Address |
---|---|
Deanna Vaughn Vitale, LSCSW 4253 N Crossover Rd, Fayetteville, AR 72703-4593 Ph: (479) 521-5731 | Deanna Vaughn Vitale, LSCSW 10301 Mayo Dr, Barling, AR 72923-1660 Ph: (479) 494-5760 |
Angela Larimer, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1311 Fort Street, Barling, AR 72923 Phone: 479-452-5040 | |
Kelly Vansell, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1311 Fort Street, Barling, AR 72923 Phone: 479-452-5040 | |
Simon Edward Ellis Jr., Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1311 Fort Street, Barling, AR 72923 Phone: 479-452-5040 | |
Kaye Pryor, Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1311 Fort Street, Barling, AR 72923 Phone: 479-452-5040 | |
Hien T Vu, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 815 Fort St Ste A, Barling, AR 72923 Phone: 479-494-5700 Fax: 479-484-8142 | |
Anna Lee Brown, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10301 Mayo Dr, Barling, AR 72923 Phone: 479-494-5760 Fax: 479-484-8142 | |
Robert J Bronson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10301 Mayo Dr, Barling, AR 72923 Phone: 479-494-5700 Fax: 479-494-9992 |