Mrs Kira M Mantell, LCSW | |
512 Houston St, Staunton, VA 24401-3525 | |
(888) 365-6271 | |
Not Available |
Full Name | Mrs Kira M Mantell |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 512 Houston St, Staunton, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447492632 | NPI | - | NPPES |
0904009469 | Other | VA | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | DP00945238 (West Virginia) | Secondary |
1041C0700X | Social Worker - Clinical | 0904009469 (Virginia) | Primary |
Entity Name | Pine Ridge Indian Health Service Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497786412 PECOS PAC ID: 4688571326 Enrollment ID: O20031218000966 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kira M Mantell, LCSW 115 Summit St, Spencer, WV 25276-1140 Ph: (757) 692-8081 | Mrs Kira M Mantell, LCSW 512 Houston St, Staunton, VA 24401-3525 Ph: (888) 365-6271 |
Ms. Mary Ann Kiernan-stern, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 119c W.frederick St., Staunton, VA 24401 Phone: 703-966-4453 | |
Shane Johnson, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 85 Sangers Ln, Staunton, VA 24401 Phone: 540-213-7566 Fax: 540-887-3245 | |
Ms. Elizabeth G Anderson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 85 Sangers Ln, Staunton, VA 24401 Phone: 540-887-3200 | |
Robin J Carver, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 85 Sangers Ln, Staunton, VA 24401 Phone: 540-887-3200 Fax: 540-887-3240 | |
Miss Sara E Hill, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 102 Business Way, Staunton, VA 24401 Phone: 540-886-5777 Fax: 540-886-5776 | |
Robyn Walden, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 85 Sangers Ln, Staunton, VA 24401 Phone: 540-887-3200 Fax: 540-887-3245 | |
Candy Calloway, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 85 Sangers Ln, Staunton, VA 24401 Phone: 540-213-7566 |