Mrs Mary Rogers Aldred-crouch, MSW, MPH, LICSW, MAC | |
Rr 2, Box 753, Milton, WV 25541-9506 | |
(304) 972-4911 | |
(866) 651-5220 |
Full Name | Mrs Mary Rogers Aldred-crouch |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | Rr 2, Box 753, Milton, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326198094 | NPI | - | NPPES |
Q45603G | Other | WV | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | DP00942200 (West Virginia) | Primary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 510829 (* (Not Available)) | Secondary |
Entity Name | Lincoln County Primary Care Center Inc |
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Entity Type | Part B Supplier - Public Health/welfare Agency |
Entity Identifiers | NPI Number: 1942274543 PECOS PAC ID: 6204821879 Enrollment ID: O20040415000138 |
Entity Name | Ohio Valley Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962433177 PECOS PAC ID: 8729032966 Enrollment ID: O20080726000160 |
Entity Name | Recovery Point West Virginia Behavioral Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760037014 PECOS PAC ID: 7719387364 Enrollment ID: O20210618000141 |
Mailing Address | Practice Location Address |
---|---|
Mrs Mary Rogers Aldred-crouch, MSW, MPH, LICSW, MAC Rr 2, Box 753, Milton, WV 25541-9506 Ph: (304) 972-4911 | Mrs Mary Rogers Aldred-crouch, MSW, MPH, LICSW, MAC Rr 2, Box 753, Milton, WV 25541-9506 Ph: (304) 972-4911 |
Shane Patrick Lightle, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1249 Meadow Ln, Milton, WV 25541 Phone: 304-840-8686 |