Mr Ryan D Rife, LCSW | |
1112 E Ascension Complex Blvd, Gonzales, LA 70737-4265 | |
(225) 621-5770 | |
(225) 644-3208 |
Full Name | Mr Ryan D Rife |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 1112 E Ascension Complex Blvd, Gonzales, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194758961 | NPI | - | NPPES |
1439983 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 5906 (Louisiana) | Primary |
Entity Name | Capital Area Human Services District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174681852 PECOS PAC ID: 2769450733 Enrollment ID: O20081118000007 |
Entity Name | Capital Area Human Services District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710047980 PECOS PAC ID: 2769450733 Enrollment ID: O20081118000023 |
Entity Name | Capital Area Human Services District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730104654 PECOS PAC ID: 2769450733 Enrollment ID: O20100114000532 |
Mailing Address | Practice Location Address |
---|---|
Mr Ryan D Rife, LCSW Po Box 1725, Gonzales, LA 70707-1725 Ph: (225) 621-5770 | Mr Ryan D Rife, LCSW 1112 E Ascension Complex Blvd, Gonzales, LA 70737-4265 Ph: (225) 621-5770 |
David Frank Vogt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 41080 Lakeway Cove Ave, Gonzales, LA 70737 Phone: 225-445-3442 | |
Nekia M Weber, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6122 Tezcuco Ct, Gonzales, LA 70737 Phone: 504-329-5821 | |
Mr. Cary M Bahlinger, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1112 E Ascension Complex Avenue, Gonzales, LA 70737 Phone: 225-621-5770 Fax: 225-621-5168 | |
Angela M Sanders, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1112 E Ascension Complex Blvd, Gonzales, LA 70737 Phone: 225-621-5770 Fax: 225-644-5168 | |
Ms. Janis Kaye Ivey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1024 E Ascension Complex Blvd, Gonzales, LA 70737 Phone: 225-644-4582 Fax: 225-644-3635 | |
Pilar T. Borne, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1112 E Ascension Complex Blvd, Gonzales, LA 70737 Phone: 225-621-5770 Fax: 225-644-3208 |