Mr Carlos Vrijido Martinez, | |
3361 N Academy Blvd, Colorado Springs, CO 80917-5103 | |
(719) 285-7466 | |
(719) 409-0482 |
Full Name | Mr Carlos Vrijido Martinez |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 3361 N Academy Blvd, Colorado Springs, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033388467 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LW60580943 (Washington) | Secondary |
1041C0700X | Social Worker - Clinical | LSCSW4773 (Kansas) | Primary |
Entity Name | Katies Way Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881096428 PECOS PAC ID: 1254664279 Enrollment ID: O20190606001608 |
Mailing Address | Practice Location Address |
---|---|
Mr Carlos Vrijido Martinez, 3361 N Academy Blvd, Colorado Springs, CO 80917-5103 Ph: (719) 285-7466 | Mr Carlos Vrijido Martinez, 3361 N Academy Blvd, Colorado Springs, CO 80917-5103 Ph: (719) 285-7466 |
Mrs. Rebecca May Clinton, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6370 Boscomb Pl, Colorado Springs, CO 80922 Phone: 405-474-9630 | |
Mrs. Raquel Dominguez, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5373 N Union Blvd Ste 103, Colorado Springs, CO 80918 Phone: 719-644-6131 | |
Robyn Chapel, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3462 Briargate Blvd, Colorado Springs, CO 80920 Phone: 719-233-2866 | |
Mary J Prinz, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 115 Parkside Dr, Colorado Springs, CO 80910 Phone: 719-572-6340 Fax: 719-447-4791 | |
Jill Ann Karsh, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1843 Austin Bluffs Pkwy, Colorado Springs, CO 80918 Phone: 719-660-5351 | |
Mrs. Maggie Levin Ellias, MSS Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5540 Tech Center Dr, Suite 203, Colorado Springs, CO 80919 Phone: 719-548-0100 | |
Mr. Gary Dwayne West, MSW, LCSW, BCD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2965 Broadmoor Valley Rd, Ste B, Colorado Springs, CO 80906 Phone: 719-576-6617 |