Michelle Diane Stoller, LCSW, LIMHP | |
2608 Old Fair Rd, Grand Island, NE 68803-5271 | |
(308) 382-5297 | |
(308) 382-5315 |
Full Name | Michelle Diane Stoller |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 10 Years |
Location | 2608 Old Fair Rd, Grand Island, Nebraska |
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 |
---|---|---|---|
1043680622 | NPI | - | NPPES |
10026194400 | Medicaid | NE | |
10025173100 | Medicaid | NE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 1744 (Nebraska) | Primary |
101YM0800X | Counselor - Mental Health | 2204 (Nebraska) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wholeness Healing Center Pc | 3173571320 | 10 |
Entity Name | Wholeness Healing Center Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124130364 PECOS PAC ID: 3173571320 Enrollment ID: O20050105000266 |
Mailing Address | Practice Location Address |
---|---|
Michelle Diane Stoller, LCSW, LIMHP 2608 Old Fair Rd, Grand Island, NE 68803-5271 Ph: (308) 382-5297 | Michelle Diane Stoller, LCSW, LIMHP 2608 Old Fair Rd, Grand Island, NE 68803-5271 Ph: (308) 382-5297 |
Lisa Blain, PLMHP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 914 Baumann Dr, Grand Island, NE 68803 Phone: 308-385-5250 | |
Angela Lyon, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 223 N Locust St Apt 1, Grand Island, NE 68801 Phone: 308-391-2280 | |
Jo A Griffith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2201 N Broadwell Ave, Grand Island, NE 68803 Phone: 308-382-3660 | |
David Dean Kreutzer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2121 N Webb Rd, Suite 200, Grand Island, NE 68803 Phone: 308-384-7119 Fax: 308-384-0778 | |
Charla Rae Rasmussen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2201 N Broadwell Ave # 117c-g, Grand Island, NE 68803 Phone: 308-389-5107 | |
Mrs. Cindy Lynn Niemack-brown, LCSW, LMHP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2201 N Broadwell Ave, C319, Grand Island, NE 68803 Phone: 308-382-3660 Fax: 308-389-5136 |