Mrs Cheryl Anne Baeza, LCSW MSW | |
2149 N Academy Blvd, Colorado Springs, CO 80909 | |
(719) 661-9323 | |
(719) 434-9930 |
Full Name | Mrs Cheryl Anne Baeza |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2149 N Academy Blvd, Colorado Springs, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477754125 | NPI | - | NPPES |
9000148467 | Medicaid | CO | |
547067 | Medicaid | CO | |
12158616 | Other | CO | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | L510034 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 992409 (Colorado) | Primary |
Entity Name | Bristlecone Family Counseling Mental Health Therapy For Children |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972049328 PECOS PAC ID: 9638500812 Enrollment ID: O20200505000203 |
Mailing Address | Practice Location Address |
---|---|
Mrs Cheryl Anne Baeza, LCSW MSW 2149 N Academy Blvd, Colorado Springs, CO 80909-1507 Ph: (719) 661-9323 | Mrs Cheryl Anne Baeza, LCSW MSW 2149 N Academy Blvd, Colorado Springs, CO 80909 Ph: (719) 661-9323 |
Mrs. Rebecca May Clinton, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6370 Boscomb Pl, Colorado Springs, CO 80922 Phone: 405-474-9630 | |
Mrs. Raquel Dominguez, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5373 N Union Blvd Ste 103, Colorado Springs, CO 80918 Phone: 719-644-6131 | |
Robyn Chapel, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3462 Briargate Blvd, Colorado Springs, CO 80920 Phone: 719-233-2866 | |
Mary J Prinz, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 115 Parkside Dr, Colorado Springs, CO 80910 Phone: 719-572-6340 Fax: 719-447-4791 | |
Jill Ann Karsh, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1843 Austin Bluffs Pkwy, Colorado Springs, CO 80918 Phone: 719-660-5351 | |
Mrs. Maggie Levin Ellias, MSS Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5540 Tech Center Dr, Suite 203, Colorado Springs, CO 80919 Phone: 719-548-0100 | |
Mr. Gary Dwayne West, MSW, LCSW, BCD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2965 Broadmoor Valley Rd, Ste B, Colorado Springs, CO 80906 Phone: 719-576-6617 |