Mary Thoman, CLINICAL SOCIAL WORK | |
2210 Elizabeth St, Monroe, LA 71201-5012 | |
(318) 330-7529 | |
(318) 330-7520 |
Full Name | Mary Thoman |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2210 Elizabeth St, Monroe, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013469097 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 4777 (Louisiana) | Primary |
Entity Name | Mdb Behavioral Health Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669835310 PECOS PAC ID: 0749572915 Enrollment ID: O20160708000104 |
Mailing Address | Practice Location Address |
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Mary Thoman, CLINICAL SOCIAL WORK 2210 Elizabeth St, Monroe, LA 71201-5012 Ph: (318) 330-7529 | Mary Thoman, CLINICAL SOCIAL WORK 2210 Elizabeth St, Monroe, LA 71201-5012 Ph: (318) 330-7529 |
Nicole Cabello, LCSW-BACS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1300 Hudson Ln Ste 15, Monroe, LA 71201 Phone: 318-309-1862 | |
Jada Leigh Ali, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2100 Oliver Rd, Monroe, LA 71201 Phone: 318-329-9455 Fax: 318-329-9492 | |
Ms. Sherry Lynn Free, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 208 Cole Ave, Monroe, LA 71203 Phone: 318-355-2761 Fax: 318-343-8915 | |
Vonthisha C Wiley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 422 Bunker Ln, Monroe, LA 71203 Phone: 318-497-3264 | |
Holly Carter, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1691 Bienville Dr, Monroe, LA 71201 Phone: 318-998-7881 | |
Ms. Deborah Lynn Doublin, LCSW, LMFT Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 800 Washington St, Suite B-2, Monroe, LA 71201 Phone: 318-325-8782 Fax: 318-325-8749 |