Mrs Sandra Jean Mathes, LCSW | |
210 N Shamrock Blvd, Russellville, AR 72802 | |
(501) 303-3105 | |
Not Available |
Full Name | Mrs Sandra Jean Mathes |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 48 Years |
Location | 210 N Shamrock Blvd, Russellville, Arkansas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154570604 | NPI | - | NPPES |
116399726 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 169-C (Arkansas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Youth Home Inc | 4789806431 | 7 |
Entity Name | Youth Home Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942266879 PECOS PAC ID: 4789806431 Enrollment ID: O20141112001724 |
Mailing Address | Practice Location Address |
---|---|
Mrs Sandra Jean Mathes, LCSW 210 N Shamrock Blvd, Russellville, AR 72802-9658 Ph: () - | Mrs Sandra Jean Mathes, LCSW 210 N Shamrock Blvd, Russellville, AR 72802 Ph: (501) 303-3105 |
Tessa Riffell, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 110 Skyline Drive, Russellville, AR 72801 Phone: 479-968-1298 Fax: 479-968-6053 | |
Danielle Beth Beck, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 110 Skyline Dr, Russellville, AR 72801 Phone: 479-967-5570 Fax: 479-890-5364 | |
Tracy L Baxley Tullos, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3106 W 2nd Ct, Suite 1, Russellville, AR 72801 Phone: 479-880-5100 Fax: 479-880-5297 | |
Mrs. Florence R Duffee, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2504 W Main St Ste C, Russellville, AR 72801 Phone: 479-967-2024 Fax: 479-967-9203 | |
Jennifer Lee Goodman, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 110 Skyline Dr, Russellville, AR 72801 Phone: 479-967-5570 Fax: 479-890-5364 | |
Mitzi Henderson, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 500 W Main St Ste 302, Russellville, AR 72801 Phone: 479-264-0606 |