Ila Maureen Debose, LCSW | |
4943 Old Greenwood Rd, Suite 2, Fort Smith, AR 72903-6923 | |
(479) 719-7051 | |
(479) 242-2653 |
Full Name | Ila Maureen Debose |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 4943 Old Greenwood Rd, Fort Smith, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740477322 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2158-C (Arkansas) | Primary |
Entity Name | Western Arkansas Counseling & Guidance Center, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326040692 PECOS PAC ID: 1355326174 Enrollment ID: O20040623001595 |
Mailing Address | Practice Location Address |
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Ila Maureen Debose, LCSW 5410 Free Ferry Rd, Fort Smith, AR 72903-2522 Ph: (479) 719-7051 | Ila Maureen Debose, LCSW 4943 Old Greenwood Rd, Suite 2, Fort Smith, AR 72903-6923 Ph: (479) 719-7051 |
Katrina Abshere, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3111 S 70th St, Fort Smith, AR 72903 Phone: 479-452-6650 Fax: 479-452-5847 | |
Lorena Scott, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3111 S 70th St, Fort Smith, AR 72903 Phone: 479-452-6650 Fax: 479-452-5847 | |
Wansley Harrison, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5101 Old Greenwood Rd Ste 105, Fort Smith, AR 72903 Phone: 479-274-8847 | |
Brenden Stephens, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 3111 S 70th St, Fort Smith, AR 72903 Phone: 479-452-6650 Fax: 479-452-5847 | |
Mrs. Angela Marie Loggains, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7401 Downing St, Fort Smith, AR 72903 Phone: 479-652-3540 Fax: 479-478-9915 | |
Ms. Kimberly Sue Dickerson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3111 S 70th St, Fort Smith, AR 72903 Phone: 479-452-6650 Fax: 479-452-5847 | |
Ms. Lucia Loyd, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1500 Dodson Ave, Fort Smith, AR 72901 Phone: 479-441-2600 |