Ms Danalynn M Esponge-brisbois, LCSW | |
190 Overthrust Rd, Evanston, WY 82930 | |
(307) 789-4224 | |
Not Available |
Full Name | Ms Danalynn M Esponge-brisbois |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 190 Overthrust Rd, Evanston, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083017974 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW-1627 (Wyoming) | Primary |
Entity Name | State Of Wyoming |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316011562 PECOS PAC ID: 4587552583 Enrollment ID: O20040728001439 |
Mailing Address | Practice Location Address |
---|---|
Ms Danalynn M Esponge-brisbois, LCSW Po Box 376, Afton, WY 83110-0376 Ph: (307) 885-9888 | Ms Danalynn M Esponge-brisbois, LCSW 190 Overthrust Rd, Evanston, WY 82930 Ph: (307) 789-4224 |
Ms. Shontay Marie Roe, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 109 Barrett Ave, Evanston, WY 82930 Phone: 307-679-3854 Fax: 307-789-4225 | |
Tina Taylor, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 184 Seminole Dr, Evanston, WY 82930 Phone: 307-679-1822 | |
Ms. Patricia Ann Roberts, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 831 S Hwy 150, Evanston, WY 82931 Phone: 307-789-3464 Fax: 307-789-7373 | |
Angelia Hintz, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 190 Overthrust Rd., Evanston, WY 82930 Phone: 307-789-4224 | |
Joshua Robert Cosgrave, MSW, PCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 190 Overthrust Rd, Evanston, WY 82930 Phone: 307-789-4224 | |
Ed Davis Lyles, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 350 City View Dr, #302, Evanston, WY 82930 Phone: 307-789-7915 Fax: 307-789-6009 |