Maddison Smith, | |
57950 Leavenworth St, Mcconnell Afb, KS 67221-3505 | |
(316) 759-4170 | |
Not Available |
Full Name | Maddison Smith |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 57950 Leavenworth St, Mcconnell Afb, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134819568 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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: O20210326001541 |
Mailing Address | Practice Location Address |
---|---|
Maddison Smith, 8533 E 32nd St N, Wichita, KS 67226-2611 Ph: (316) 293-3544 | Maddison Smith, 57950 Leavenworth St, Mcconnell Afb, KS 67221-3505 Ph: (316) 759-4170 |
Alisa A Norlin, LSCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 57950 Leavenworth St, Mcconnell Afb, KS 67221 Phone: 316-759-5768 Fax: 316-759-5038 | |
Richard L Nault, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 57950 Leavenworth St, 22 Mdg, Mcconnell Afb, KS 67221 Phone: 316-759-5768 Fax: 316-759-1304 | |
Mr. Allen Lee Plangklang, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 57950 Leavenworth St, Mcconnell Afb, KS 67221 Phone: 316-759-5768 | |
Brian Charles Everitt, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 57590 Leavenworth, Mcconnell Afb, KS 67221 Phone: 316-759-6684 | |
Dawn Hardwick, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 57950 Leavenworth St, Mcconnell Afb, KS 67221 Phone: 316-759-5095 | |
Frances R Waldren, LSCSW, LMAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 57950 Leavenworth St Bldg 250, Mcconnell Afb, KS 67221 Phone: 316-759-6937 Fax: 316-759-5993 |