Samantha Myers, LCSW | |
443 Co-105, Palmer Lake, CO 80133 | |
(719) 602-0914 | |
Not Available |
Full Name | Samantha Myers |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 443 Co-105, Palmer Lake, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891389482 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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: O20210113002826 |
Mailing Address | Practice Location Address |
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Samantha Myers, LCSW Po Box 62164, Colorado Springs, CO 80962-2164 Ph: () - | Samantha Myers, LCSW 443 Co-105, Palmer Lake, CO 80133 Ph: (719) 602-0914 |
Teshina Carter, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 443 Highway 105, Palmer Lake, CO 80133 Phone: 719-884-0063 | |
Dawn Derosier, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 443 S Co-105, Palmer Lake, CO 80133 Phone: 719-955-1800 | |
Tina Piantidosi-hall, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 443 Highway 105, Palmer Lake, CO 80133 Phone: 719-602-0914 |