Karen Marie Irick, LCSW, LAC | |
1530 W 17th St, Pueblo, CO 81003 | |
(719) 544-3150 | |
Not Available |
Full Name | Karen Marie Irick |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1530 W 17th St, Pueblo, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053452201 | NPI | - | NPPES |
ACD.0000976 | Other | CO | LAC |
13279718 | Medicaid | MO | |
2004019098 | Other | MO | LCSW |
CSW.09924278 | Other | CO | LCSW |
Entity Name | Sondermind Provider Network Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210113002826 |
Mailing Address | Practice Location Address |
---|---|
Karen Marie Irick, LCSW, LAC 1530 W 17th St, Pueblo, CO 81003-1558 Ph: (719) 544-3150 | Karen Marie Irick, LCSW, LAC 1530 W 17th St, Pueblo, CO 81003 Ph: (719) 544-3150 |
James Arthur Hull, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1002 Cedar St, Pueblo, CO 81004 Phone: 719-545-0578 | |
Ms. Mary Alice Mehess, LCSW, LAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 20 Tamar Ct, Pueblo, CO 81005 Phone: 719-568-2531 | |
Justin M Gay, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4776 Eagleridge Cir, Pueblo, CO 81008 Phone: 719-584-5183 Fax: 719-584-5496 | |
Prudencio Cosyleon, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 417 W 13th St, Pueblo, CO 81003 Phone: 719-544-0877 Fax: 719-544-2033 | |
Amy Joan Alsum, MSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4112 Outlook Blvd Ste 96, Pueblo, CO 81008 Phone: 719-776-6850 Fax: 719-776-6855 | |
Patricia Pacheco, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1591 Taos Rd, Pueblo, CO 81006 Phone: 719-545-2746 Fax: 719-195-4541 |