Jennifer L Miller, LCSW | |
2930 11th Ave, Evans, CO 80620-1011 | |
(970) 290-5925 | |
Not Available |
Full Name | Jennifer L Miller |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2930 11th Ave, Evans, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386040871 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | North Range Behavioral Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669431524 PECOS PAC ID: 1951299486 Enrollment ID: O20040316000674 |
Mailing Address | Practice Location Address |
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Jennifer L Miller, LCSW 1300 N 17th Ave, Greeley, CO 80631-9584 Ph: (970) 347-2120 | Jennifer L Miller, LCSW 2930 11th Ave, Evans, CO 80620-1011 Ph: (970) 290-5925 |
Esther Aguila, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2930 11th Ave, Evans, CO 80620 Phone: 970-347-2120 | |
Ms. Alycia Ann Stack, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2441 Shooting Star Way, Evans, CO 80620 Phone: 970-689-6388 | |
Maria S Diaz, LCSW, CAC III Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2930 11th Ave, Evans, CO 80620 Phone: 970-347-2120 | |
Mrs. Yaricza Emma Castaneda, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2930 11th Ave, Evans, CO 80620 Phone: 970-347-2120 | |
Paulette Tarnasky, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2930 11th Ave, Evans, CO 80620 Phone: 970-347-2120 | |
Jill Wittwer, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3600 Penny Ln Unit 812, Evans, CO 80620 Phone: 720-909-9033 |