Mrs Carolyn Ann Russell, LCSW | |
725 Horsepond Rd, Dover, DE 19901-7232 | |
(302) 747-1156 | |
Not Available |
Full Name | Mrs Carolyn Ann Russell |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 725 Horsepond Rd, Dover, Delaware |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619689833 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | Q1-0012174 (Delaware) | Primary |
Entity Name | Mid-atlantic Behavioral Health, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871719872 PECOS PAC ID: 3375620016 Enrollment ID: O20080407000009 |
Mailing Address | Practice Location Address |
---|---|
Mrs Carolyn Ann Russell, LCSW 910 S Chapel St Ste 102, Newark, DE 19713-3468 Ph: (302) 224-1400 | Mrs Carolyn Ann Russell, LCSW 725 Horsepond Rd, Dover, DE 19901-7232 Ph: (302) 747-1156 |
Mrs. Leah Denise Sullivan, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1151 Walker Rd, Dover, DE 19904 Phone: 302-674-2380 | |
Tamika L Culver, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9 E Loockerman St, Suite 308, Dover, DE 19901 Phone: 302-244-8054 | |
Brittany Cosme, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 318 Crickle Creek Ln, Dover, DE 19904 Phone: 302-359-4517 | |
Mrs. Crystal Lynn Conley, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2099 S Dupont Hwy, Dover, DE 19901 Phone: 302-674-1600 Fax: 302-531-0850 | |
Ashley Mcgee, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1103 Westview Ter, Dover, DE 19904 Phone: 302-531-8882 | |
E Faye Bibee Friedman, M.S.W., L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 121 W Loockerman St, Dover, DE 19904 Phone: 302-674-1367 Fax: 302-674-1602 | |
Karen Am Favors, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9 E Loockerman St Ste 213, Dover, DE 19901 Phone: 302-677-1758 Fax: 302-677-1759 |