Ms Mavis H Vaillancourt, LCSW, LAC | |
415 Louisiana Ave, Libby, MT 59923-2131 | |
(406) 546-8507 | |
Not Available |
Full Name | Ms Mavis H Vaillancourt |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 19 Years |
Location | 415 Louisiana Ave, Libby, Montana |
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 |
---|---|---|---|
1134139058 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 912 (Montana) | Primary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 1140 (Montana) | Secondary |
Entity Name | St Johns Lutheran Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952312050 PECOS PAC ID: 1557255676 Enrollment ID: O20040210000931 |
Entity Name | Mavis Vaillancourt Lcsw Lac Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699229682 PECOS PAC ID: 2062708837 Enrollment ID: O20160902000056 |
Mailing Address | Practice Location Address |
---|---|
Ms Mavis H Vaillancourt, LCSW, LAC 415 Louisiana Ave, Libby, MT 59923-2131 Ph: (406) 546-8507 | Ms Mavis H Vaillancourt, LCSW, LAC 415 Louisiana Ave, Libby, MT 59923-2131 Ph: (406) 546-8507 |
Tanis Hernandez, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 320 E 2nd St, Libby, MT 59923 Phone: 406-283-6900 | |
Linda Marie Jensen, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 Ski Rd, Libby, MT 59923 Phone: 406-293-2763 | |
Mary Karen Caraway, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 Ski Rd, Libby, MT 59923 Phone: 406-293-2763 Fax: 406-494-1724 | |
Leslie Marie Sterling, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 421 Montana Ave, Libby, MT 59923 Phone: 303-909-1573 | |
Kayla Friss, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 108 E 9th St Ste 11, Libby, MT 59923 Phone: 406-293-5284 | |
Jennifer Andersen, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 320 E 2nd St, Libby, MT 59923 Phone: 406-283-6900 Fax: 406-293-6622 |