Lara C Ristow, LCSW | |
2855 Main Ave Ste A104, Durango, CO 81301-5959 | |
(970) 946-2669 | |
Not Available |
Full Name | Lara C Ristow |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2855 Main Ave Ste A104, Durango, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801027388 | NPI | - | NPPES |
18858562 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 1286 (Colorado) | Primary |
Entity Name | Southwest Colorado Mental Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932192598 PECOS PAC ID: 9133011802 Enrollment ID: O20040326001177 |
Entity Name | Sondermind Provider Network Llc |
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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 |
---|---|
Lara C Ristow, LCSW 245 Valley View Cir, Durango, CO 81301-4298 Ph: (970) 946-2669 | Lara C Ristow, LCSW 2855 Main Ave Ste A104, Durango, CO 81301-5959 Ph: (970) 946-2669 |
Janet Marie Wolf, CMT, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 801 Florida Rd Unit 11, Durango, CO 81301 Phone: 970-769-1967 | |
Ellen Sullivan Wassif, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 281 Sawyer Dr, Durango, CO 81303 Phone: 970-749-0045 | |
Ms. Kathleen A Sayers, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 146 Sawyer Dr, Durango, CO 81303 Phone: 970-382-8786 | |
Emily Nicole Campbell, LSW, AASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 765 E College Dr, Durango, CO 81301 Phone: 970-903-7979 | |
Hillary Wolfe, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 281 Sawyer Dr Ste 100, Durango, CO 81303 Phone: 970-335-2332 | |
Joel Berdie, MSW, SWC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 577 E 10th St, Durango, CO 81301 Phone: 303-895-1783 | |
Heather Brooke Menzie, MA, LCPI Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 466 South Sky Lane Dr., Open Sky Wilderness Therapy, Durango, CO 81302 Phone: 970-382-8181 Fax: 970-382-9494 |