John Bryan Stuppy, LISW, LADAC | |
2891 Clark Ct, Santa Fe, NM 87507-5179 | |
(505) 930-4550 | |
(505) 474-4550 |
Full Name | John Bryan Stuppy |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 2891 Clark Ct, Santa Fe, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811982135 | NPI | - | NPPES |
60759364 | Medicaid | NM | |
53052552 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | I-6160 (New Mexico) | Primary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 3419 (New Mexico) | Secondary |
Entity Name | Behavioral Healthcare Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730112483 PECOS PAC ID: 3274625132 Enrollment ID: O20090407000362 |
Mailing Address | Practice Location Address |
---|---|
John Bryan Stuppy, LISW, LADAC 2891 Clark Ct, Santa Fe, NM 87507-5179 Ph: (505) 930-4550 | John Bryan Stuppy, LISW, LADAC 2891 Clark Ct, Santa Fe, NM 87507-5179 Ph: (505) 930-4550 |
Ms. Patricia Ann Stark, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1600 Saint Michaels Dr, Santa Fe, NM 87505 Phone: 505-473-6362 Fax: 505-473-6467 | |
Mr. Terry Scott Sine, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4730 Beckner Road, Santa Fe, NM 87507 Phone: 505-989-4500 Fax: 505-443-8360 | |
Dr. Karen Kaufman Milstein, PHD LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 162 Rancho Alegre Rd, Santa Fe, NM 87508 Phone: 505-995-9596 Fax: 505-474-8014 | |
Marta E. Townsend, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2960 Rodeo Park Dr W, Santa Fe, NM 87505 Phone: 505-946-1459 | |
Megan Nicole Martin, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1896 Lorca Dr Apt 86, Santa Fe, NM 87505 Phone: 704-936-7512 | |
Ms. Cedar R Koons, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1012 Marquez Pl, 211a, Santa Fe, NM 87505 Phone: 505-474-4480 Fax: 505-982-2196 | |
Rhonda Avidon, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4516 Calle Turquesa, Santa Fe, NM 87507 Phone: 505-474-3193 |