Mr Harry Stoll Mustard, MSW, LISW-CP | |
3050 Leaphart Rd, West Columbia, SC 29169-3000 | |
(803) 791-0495 | |
(803) 791-1958 |
Full Name | Mr Harry Stoll Mustard |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 55 Years |
Location | 3050 Leaphart Rd, West Columbia, South Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851689996 | NPI | - | NPPES |
12211634 | Other | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 5557 (South Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Psychological Health Roanoke Pc | 4981606076 | 10 |
Entity Name | Psychological Health Roanoke Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417975806 PECOS PAC ID: 4981606076 Enrollment ID: O20070201000585 |
Mailing Address | Practice Location Address |
---|---|
Mr Harry Stoll Mustard, MSW, LISW-CP 3050 Leaphart Rd, West Columbia, SC 29169-3000 Ph: (803) 791-1958 | Mr Harry Stoll Mustard, MSW, LISW-CP 3050 Leaphart Rd, West Columbia, SC 29169-3000 Ph: (803) 791-0495 |
Mrs. Carol E. O. Anderson, LISW-CP Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1905 Sunset Blvd Ste C, West Columbia, SC 29169 Phone: 803-851-0902 Fax: 803-851-7192 | |
Erin Thompson Wiesendanger, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 146 E Hospital Dr Ste 400, West Columbia, SC 29169 Phone: 803-936-3300 Fax: 803-936-7735 | |
Antoinette Shanae Nipper, LISW-CP Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 105 Indigo Place Ct, West Columbia, SC 29172 Phone: 803-974-9415 | |
Amy A Nienhuis, LISW-CP, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3050 Leaphart Rd, Mt. Hebron Pastoral Counseling Center, West Columbia, SC 29169 Phone: 803-791-0495 | |
Ms. Carolyn P Miner, LISW-CP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 914 Meeting St, West Columbia, SC 29169 Phone: 803-233-3199 Fax: 803-233-8420 | |
Stacey Khalifa, LISW-CP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 160 Medical Cir Fl 1, West Columbia, SC 29169 Phone: 803-796-6811 Fax: 803-796-6851 | |
Stephanie F. Greene, MSW, LISW-CP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2999 Sunset Blvd, Suite 100, West Columbia, SC 29169 Phone: 803-939-9699 Fax: 803-939-9086 |