John Russum, LCSW | |
725 Horsepond Rd, Dover, DE 19901-7232 | |
(302) 744-7688 | |
(302) 735-3856 |
Full Name | John Russum |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 725 Horsepond Rd, Dover, Delaware |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407961022 | NPI | - | NPPES |
Q10000855 | Other | DE | CLINICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | Q10000855 (Delaware) | Primary |
Entity Name | La Red Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700832185 PECOS PAC ID: 4789668815 Enrollment ID: O20070306000183 |
Mailing Address | Practice Location Address |
---|---|
John Russum, LCSW 725 Horsepond Rd, Dover, DE 19901-7232 Ph: (302) 744-7688 | John Russum, LCSW 725 Horsepond Rd, Dover, DE 19901-7232 Ph: (302) 744-7688 |
Mrs. Leah Denise Sullivan, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1151 Walker Rd, Dover, DE 19904 Phone: 302-674-2380 | |
Tamika L Culver, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9 E Loockerman St, Suite 308, Dover, DE 19901 Phone: 302-244-8054 | |
Brittany Cosme, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 318 Crickle Creek Ln, Dover, DE 19904 Phone: 302-359-4517 | |
Mrs. Crystal Lynn Conley, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2099 S Dupont Hwy, Dover, DE 19901 Phone: 302-674-1600 Fax: 302-531-0850 | |
Ashley Mcgee, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1103 Westview Ter, Dover, DE 19904 Phone: 302-531-8882 | |
E Faye Bibee Friedman, M.S.W., L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 121 W Loockerman St, Dover, DE 19904 Phone: 302-674-1367 Fax: 302-674-1602 | |
Karen Am Favors, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9 E Loockerman St Ste 213, Dover, DE 19901 Phone: 302-677-1758 Fax: 302-677-1759 |