Marianne S Valladares, MSW, LCSW | |
300 East Hospital Rd., Fort Gordon, GA 30905-5650 | |
(706) 787-6084 | |
Not Available |
Full Name | Marianne S Valladares |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 300 East Hospital Rd., Fort Gordon, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275587412 | NPI | - | NPPES |
LCSW10948 | Other | AZ | AZ BOARD OF BH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW10948 (Arizona) | 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: O20210318002844 |
Mailing Address | Practice Location Address |
---|---|
Marianne S Valladares, MSW, LCSW 333 W Wilcox Dr, Ste 202, Sierra Vista, AZ 85635-1790 Ph: (520) 249-7650 | Marianne S Valladares, MSW, LCSW 300 East Hospital Rd., Fort Gordon, GA 30905-5650 Ph: (706) 787-6084 |
Ms. Janis C Raynor, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 W Hospital Rd, Ddeamc, Fort Gordon, GA 30905 Phone: 706-787-9186 Fax: 706-787-3562 | |
Ms. Tanya Scherer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 183 Academic Dr, Fort Gordon, GA 30905 Phone: 706-627-9684 | |
Mr. Joseph Melton Bird, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 East Hospital Road, Room 13a-10, Fort Gordon, GA 30905 Phone: 706-787-6377 Fax: 706-787-1458 | |
Ms. Gail Denise Bennett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Ddeamc 300 E Hospital Road 13a-10, Bldg. 40701, Fort Gordon, GA 30905 Phone: 706-787-2420 Fax: 706-787-8180 | |
Ms. Elizabeth Lee Pollock, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 W Hospital Rd, Outpatient Behavioral Health, Fort Gordon, GA 30905 Phone: 706-787-2920 | |
Ms. Shannon Rae Recupero, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 W Hospital Rd, Room 13a-10, Fort Gordon, GA 30905 Phone: 706-787-9054 Fax: 706-787-8991 |