Heather Hazelwood Dausman, LCSW | |
1215 High St, Bowling Green, KY 42101-2541 | |
(270) 782-1116 | |
(270) 782-9108 |
Full Name | Heather Hazelwood Dausman |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1215 High St, Bowling Green, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497049977 | NPI | - | NPPES |
7100293210 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 3504 (Kentucky) | Primary |
Entity Name | Chestnut Park Professionals, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265574396 PECOS PAC ID: 8921025230 Enrollment ID: O20051026000749 |
Mailing Address | Practice Location Address |
---|---|
Heather Hazelwood Dausman, LCSW 1215 High St, Bowling Green, KY 42101-2541 Ph: (270) 782-1116 | Heather Hazelwood Dausman, LCSW 1215 High St, Bowling Green, KY 42101-2541 Ph: (270) 782-1116 |
Rebecca Woodrow, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1910 Lyda Ave, Bowling Green, KY 42104 Phone: 270-904-6567 Fax: 270-904-6570 | |
Mr. David Robert Rupsch Ii, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 996 Wilkinson Trce, Suite A-4, Bowling Green, KY 42103 Phone: 270-904-1072 Fax: 270-904-1073 | |
Carolyn Kates-glass, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1830 Destiny Ln, Suite 112, Bowling Green, KY 42104 Phone: 270-392-5531 Fax: 270-393-9011 | |
Chelsey Reeves, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 380 Suwannee Trail St, Bowling Green, KY 42103 Phone: 270-901-5000 Fax: 270-842-5268 | |
Londa Stockton, CSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 380 Suwannee Trail St, Bowling Green, KY 42103 Phone: 270-901-5000 Fax: 270-842-5268 | |
Robert Justin Edmunds, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 600 Us 31w Byp, Bowling Green, KY 42101 Phone: 270-782-0120 | |
Jacqueline Nichole Felts, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 700 Chestnut St, Bowling Green, KY 42101 Phone: 270-904-0055 Fax: 270-904-5110 |