Ms Elaine Harris, LCSW | |
7300 N Perimeter Rd, Malmstrom Afb, MT 59402-6701 | |
(406) 731-3689 | |
Not Available |
Full Name | Ms Elaine Harris |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 7300 N Perimeter Rd, Malmstrom Afb, Montana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326022237 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 1877C (Alabama) | Primary |
Entity Name | Family Care Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790141984 PECOS PAC ID: 5991064420 Enrollment ID: O20180109000960 |
Mailing Address | Practice Location Address |
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Ms Elaine Harris, LCSW 7300 N Perimeter Rd, Malmstrom Afb, MT 59402-6701 Ph: (406) 731-3689 | Ms Elaine Harris, LCSW 7300 N Perimeter Rd, Malmstrom Afb, MT 59402-6701 Ph: (406) 731-3689 |
Marisa Sue Ridley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7300 N Perimeter Rd, Malmstrom Afb, MT 59402 Phone: 406-731-3218 | |
Crystal Noppenberg, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7300 N Perimeter Rd, Malmstrom Afb, MT 59402 Phone: 406-731-7494 | |
Jordan Kieliszewski, LISWS Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7300 N Perimeter Rd, Malmstrom Afb, MT 59402 Phone: 064-731-4494 | |
Mr. Anthony Christopher Wilson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7300 N Perimeter Rd, Bldg 2040, Malmstrom Afb, MT 59402 Phone: 406-731-3219 Fax: 406-731-3231 |