Melanie Virginia Wade, | |
1105b Colorado Ave, Grand Junction, CO 81501-3522 | |
(970) 242-4400 | |
Not Available |
Full Name | Melanie Virginia Wade |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1105b Colorado Ave, Grand Junction, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174240378 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CSW.09928603 (Colorado) | 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: O20210113002826 |
Mailing Address | Practice Location Address |
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Melanie Virginia Wade, 884 Vineyard Ave, Palisade, CO 81526-6500 Ph: (970) 270-9647 | Melanie Virginia Wade, 1105b Colorado Ave, Grand Junction, CO 81501-3522 Ph: (970) 242-4400 |
Raul Alberto Vazquez Mestre, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2177 Redcliff Cir, Grand Junction, CO 81507 Phone: 787-648-6027 | |
Jennifer Christine Harris, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 121 W Rood Ave, Grand Junction, CO 81501 Phone: 970-424-8754 | |
Nancy L. Tanner, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 918 N 7th St, Suite 3, Grand Junction, CO 81501 Phone: 970-242-3897 Fax: 970-256-7882 | |
Dr. Gary Dean Sinclair, PHD, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2470 Patterson Rd Ste 6office5, Grand Junction, CO 81505 Phone: 970-201-4848 | |
Gary A Miller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3150 N 12th St, Grand Junction, CO 81506 Phone: 970-242-5707 Fax: 970-242-7245 | |
Kimberly Ann Yerkes, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2708 Patterson Rd, Grand Junction, CO 81506 Phone: 970-243-9539 | |
Ms. Deborah F English, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1600 Ute Ave, Suite 107, Grand Junction, CO 81501 Phone: 970-208-4488 Fax: 970-255-8431 |