Mr Jonathan James Lewis, CSW | |
691 E Empire St, Cortez, CO 81321-2802 | |
(970) 565-7946 | |
Not Available |
Full Name | Mr Jonathan James Lewis |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 691 E Empire St, Cortez, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235303991 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801082270 (Michigan) | Secondary |
1041C0700X | Social Worker - Clinical | CSW.09924587 (Colorado) | Primary |
Entity Name | Southwest Colorado Mental Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932192598 PECOS PAC ID: 9133011802 Enrollment ID: O20040326001177 |
Mailing Address | Practice Location Address |
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Mr Jonathan James Lewis, CSW 150 Mercury Village Dr, Durango, CO 81301-8955 Ph: (979) 355-2422 | Mr Jonathan James Lewis, CSW 691 E Empire St, Cortez, CO 81321-2802 Ph: (970) 565-7946 |
Lillian S Ramey, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 215 W Arbecam Ave, Cortez, CO 81321 Phone: 970-565-7946 Fax: 970-565-9005 | |
Grace Marie Costello, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 901 Arbor St, Cortez, CO 81321 Phone: 513-833-4330 | |
Tonya Junod, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 691 E Empire St, Cortez, CO 81321 Phone: 970-565-7946 Fax: 970-565-9005 | |
Candiss Nicole Wolle, SWC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 418 S Sligo St, Cortez, CO 81321 Phone: 970-565-4855 | |
Anne Jones, MA, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 691 E Empire St, Cortez, CO 81321 Phone: 970-565-7946 Fax: 970-565-9005 | |
Della Louise Pope, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 691 E Empire St, Cortez, CO 81321 Phone: 970-739-6206 |