Kathleen Conrad, LCSW | |
8 E Cottonwood St, Cottonwood, AZ 86326-4382 | |
(928) 634-2236 | |
(928) 634-8960 |
Full Name | Kathleen Conrad |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 8 E Cottonwood St, Cottonwood, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912944380 | NPI | - | NPPES |
859077 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW-11250 (Arizona) | Primary |
Entity Name | Spectrum Healthcare Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487635389 PECOS PAC ID: 3072411388 Enrollment ID: O20031223000698 |
Mailing Address | Practice Location Address |
---|---|
Kathleen Conrad, LCSW 131 Vista Bonita Dr, Sedona, AZ 86336-7013 Ph: (928) 634-2236 | Kathleen Conrad, LCSW 8 E Cottonwood St, Cottonwood, AZ 86326-4382 Ph: (928) 634-2236 |
Laura Cousins, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8 E Cottonwood St Bldg A, Cottonwood, AZ 86326 Phone: 928-634-2239 Fax: 928-634-8960 | |
Margaret Anne Walden, LCSW, ATR Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 751 E Aspen St, Suite L, Cottonwood, AZ 86326 Phone: 928-399-0608 | |
Ms. Tina Johnson, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 799 Cove Pkwy, Cottonwood, AZ 86326 Phone: 701-261-9685 | |
Debra Lee Logan, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 101 S Main St Ste D, Cottonwood, AZ 86326 Phone: 282-029-0549 | |
Kali Gajewski, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8 E Cottonwood St # Az, Cottonwood, AZ 86326 Phone: 928-634-2236 | |
Peggy A James, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8 E Cottonwood St, Cottonwood, AZ 86326 Phone: 928-634-2236 Fax: 928-634-8960 | |
Ursula E. Mann, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 257 Justin Dr, #b, Cottonwood, AZ 86326 Phone: 928-649-9808 |