Mr Ric A Dalke, LSCSW | |
531 Campus View St, Garden City, KS 67846-7904 | |
(620) 276-6470 | |
Not Available |
Full Name | Mr Ric A Dalke |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 531 Campus View St, Garden City, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851516496 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LSCSW 0703 (Kansas) | Primary |
Entity Name | Iroquois Center For Human Development, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922001981 PECOS PAC ID: 2062314081 Enrollment ID: O20040915000321 |
Mailing Address | Practice Location Address |
---|---|
Mr Ric A Dalke, LSCSW 901 Lyle Ave, Garden City, KS 67846-5844 Ph: (620) 271-0511 | Mr Ric A Dalke, LSCSW 531 Campus View St, Garden City, KS 67846-7904 Ph: (620) 276-6470 |
Peter A Motley, LSCSW 0543 Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1145 E Kansas Plz, Garden City, KS 67846 Phone: 620-275-0625 Fax: 620-275-7908 | |
Margaret F Myers, LSCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1145 E Kansas Plz, Garden City, KS 67846 Phone: 620-275-0625 Fax: 620-275-7908 | |
Mrs. Vanessa Patricia Gaytan, LSCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 712 Saint John St, Garden City, KS 67846 Phone: 620-275-1766 Fax: 620-275-4729 | |
Mr. Robert E Bontrager, LSCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1145 E Kansas Plz, Garden City, KS 67846 Phone: 620-275-0625 Fax: 620-275-7908 | |
Erika A Garcia, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2735 N Jennie Barker Rd, Garden City, KS 67846 Phone: 620-275-0291 Fax: 620-275-0364 | |
Maria Ordonez Vicente, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2735 N Jennie Barker Rd, Garden City, KS 67846 Phone: 620-275-0291 Fax: 620-275-0364 | |
Idalia Duncan, LSCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1515 Sundance Cir, Garden City, KS 67846 Phone: 620-275-8565 |