Lisa A Foodim, LCSW | |
420 Deanne Ave, Newcastle, WY 82701-2936 | |
(307) 746-4456 | |
Not Available |
Full Name | Lisa A Foodim |
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Gender | Female |
Speciality | Clinical Social Worker |
Experience | 32 Years |
Location | 420 Deanne Ave, Newcastle, Wyoming |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619968500 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW-1357 (Wyoming) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Volunteers Of America Northern Rockies | 1355733015 | 15 |
Entity Name | Northern Wyoming Mental Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558415927 PECOS PAC ID: 8921901125 Enrollment ID: O20040127000709 |
Entity Name | Volunteers Of America Northern Rockies |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689249682 PECOS PAC ID: 1355733015 Enrollment ID: O20220110002012 |
Mailing Address | Practice Location Address |
---|---|
Lisa A Foodim, LCSW 909 Long Dr Ste C, Sheridan, WY 82801-3282 Ph: (307) 672-8958 | Lisa A Foodim, LCSW 420 Deanne Ave, Newcastle, WY 82701-2936 Ph: (307) 746-4456 |
Hope Phelon, LCSW. LAT Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 420 Deanne Ave, Newcastle, WY 82701 Phone: 307-746-4456 Fax: 307-746-4470 | |
Mike Ratigan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 420 Deanne Ave, Newcastle, WY 82701 Phone: 307-746-4456 Fax: 307-746-4470 | |
Leslie Hayman, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 420 Deanne Ave, Newcastle, WY 82701 Phone: 307-746-4456 Fax: 307-746-4470 |