Robert W Wilson, LCSW | |
2120 S Mcclintock Dr, Suite 105, Tempe, AZ 85282-2692 | |
(480) 804-0326 | |
(480) 804-0083 |
Full Name | Robert W Wilson |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 33 Years |
Location | 2120 S Mcclintock Dr, Tempe, Arizona |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093084683 | NPI | - | NPPES |
668301 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW-10294 (Arizona) | Primary |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210318002844 |
Mailing Address | Practice Location Address |
---|---|
Robert W Wilson, LCSW 1400 E Southern Ave, Ste. 735, Tempe, AZ 85282-5691 Ph: (480) 804-0326 | Robert W Wilson, LCSW 2120 S Mcclintock Dr, Suite 105, Tempe, AZ 85282-2692 Ph: (480) 804-0326 |
Amy Burnside, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3910 S Rural Rd, Suite J, Tempe, AZ 85282 Phone: 480-317-9868 Fax: 480-317-9867 | |
Carrie Holmes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8400 S Kyrene Rd Ste 224, Tempe, AZ 85284 Phone: 480-534-3795 | |
Mr. David A. Mcgowan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1642 S Priest Dr, Bldg 6, Ste 101, Tempe, AZ 85281 Phone: 480-929-5100 Fax: 480-731-1066 | |
Maria Elena Castro, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1642 S. Priest Drive, Bldg 6, Ste 101, Tempe, AZ 85281 Phone: 602-685-6000 Fax: 480-731-1066 | |
Sheryl Walden, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2177 E Warner Rd, Tempe, AZ 85284 Phone: 909-224-6682 | |
Jean M Sokol, LCSW, LISAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2435 E Southern Ave, Suite 4, Tempe, AZ 85282 Phone: 480-522-4113 Fax: 480-924-4469 | |
Heba Elsaad, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4535 S Lakeshore Dr Ste 6, Tempe, AZ 85282 Phone: 747-222-2179 |