Ms Karen Rose Kelly, LCSW, MAC, CDCS | |
5955 Zeamer Ave # 673mdg, Jber, AK 99506-3702 | |
(907) 551-3782 | |
Not Available |
Full Name | Ms Karen Rose Kelly |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 5955 Zeamer Ave # 673mdg, Jber, Alaska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861897746 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 109450 (Alaska) | Primary |
Entity Name | Mat - Su Health Services Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184725210 PECOS PAC ID: 2567354533 Enrollment ID: O20040325000998 |
Mailing Address | Practice Location Address |
---|---|
Ms Karen Rose Kelly, LCSW, MAC, CDCS 673 Mdg, 5955 Zeamer Avenue, Jber, AK 99506 Ph: (907) 551-3782 | Ms Karen Rose Kelly, LCSW, MAC, CDCS 5955 Zeamer Ave # 673mdg, Jber, AK 99506-3702 Ph: (907) 551-3782 |
Ms. Rachel Maria Watko, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 786 D Street, Jber, AK 99505 Phone: 907-384-0405 | |
Ms. Laurie E Hoyt, LCSW.,LPN Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 673 Mdg, 5955 Zeamer Avenue, Jber, AK 99506 Phone: 907-580-5858 | |
Kristina Niccole Huckstep, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 673d Mdg, 5955 Zeamer Avenue, Jber, AK 99506 Phone: 907-580-3205 | |
David Miller, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5955 Zeamer Ave, Jber, AK 99506 Phone: 907-580-2908 | |
Corrin Ann Magro, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 673mdg, 5955 Zeamer Avenue, Jber, AK 99506 Phone: 907-580-3205 | |
Ms. Laura Nichols, LCSW, BCD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5955 Zeamer Ave, Jber, AK 99506 Phone: 907-580-2181 | |
Jennifer Lynne Frysz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5955 Zeamer Ave, Jber, AK 99506 Phone: 907-552-5320 |