Ms Anita Celeste Dickens, LCSW | |
3101 N Michigan St Ste C, Pittsburg, KS 66762-2574 | |
(620) 231-1069 | |
(620) 231-2997 |
Full Name | Ms Anita Celeste Dickens |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 3101 N Michigan St Ste C, Pittsburg, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093951105 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW22859 (Florida) | Primary |
Entity Name | Grand Lake Mental Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497762520 PECOS PAC ID: 4688711534 Enrollment ID: O20091026000174 |
Mailing Address | Practice Location Address |
---|---|
Ms Anita Celeste Dickens, LCSW 4046 Woodridge Rd, Panama City, FL 32405-4818 Ph: (417) 297-1424 | Ms Anita Celeste Dickens, LCSW 3101 N Michigan St Ste C, Pittsburg, KS 66762-2574 Ph: (620) 231-1069 |
Vanessa Marie De Luna, LSCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3011 N Michigan St, Pittsburg, KS 66762 Phone: 620-231-9873 | |
Christine Faye Jenkins, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3101 N Michigan St Ste C, Pittsburg, KS 66762 Phone: 620-231-1069 Fax: 620-231-2997 | |
Mr. Kent R. Noble, LSCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 911 E Centennial Dr, Pittsburg, KS 66762 Phone: 620-231-5130 | |
Sandra L Krusich, LSCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Mt Carmel Way, Pittsburg, KS 66762 Phone: 620-235-7940 Fax: 620-235-7908 | |
Sandra Cullison, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3011 N Michigan St, Pittsburg, KS 66762 Phone: 620-231-9873 | |
Kristen R Durbin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3011 N Michigan St, Pittsburg, KS 66762 Phone: 620-231-9873 |