Mrs Charolette J Riale, MSW | |
1003 S Edgewood Dr, Knox, IN 46534-8226 | |
(574) 772-4040 | |
(574) 772-7144 |
Full Name | Mrs Charolette J Riale |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1003 S Edgewood Dr, Knox, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487972618 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210416002216 |
Mailing Address | Practice Location Address |
---|---|
Mrs Charolette J Riale, MSW 1003 S Edgewood Dr, Knox, IN 46534-8226 Ph: (574) 772-4040 | Mrs Charolette J Riale, MSW 1003 S Edgewood Dr, Knox, IN 46534-8226 Ph: (574) 772-4040 |
Michelle Burbank, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1001 Edgewood Dr. Suite 1, Knox, IN 46534 Phone: 574-772-8321 | |
Kimberly R Welsh, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 104 E Culver Rd Ste 106, Knox, IN 46534 Phone: 574-772-7400 Fax: 574-772-0299 | |
Amye Renee Gourley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11060 E Division Rd, Knox, IN 46534 Phone: 219-707-8523 Fax: 219-707-8523 |