Shari K Kimball, LCSW | |
1185 Highway 412 W, Siloam Springs, AR 72761-4551 | |
(479) 373-1113 | |
Not Available |
Full Name | Shari K Kimball |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1185 Highway 412 W, Siloam Springs, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821472655 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 111915-C (Arkansas) | Primary |
Entity Name | Pt Concepts Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164931291 PECOS PAC ID: 1951669852 Enrollment ID: O20171226000989 |
Mailing Address | Practice Location Address |
---|---|
Shari K Kimball, LCSW 1185 Highway 412 W, Siloam Springs, AR 72761-4551 Ph: (479) 599-9603 | Shari K Kimball, LCSW 1185 Highway 412 W, Siloam Springs, AR 72761-4551 Ph: (479) 373-1113 |
Charles Matthew Plummer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 710 S Holly St, Siloam Springs, AR 72761 Phone: 479-750-2020 Fax: 479-524-5197 | |
Jessica Gibson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 S Mount Olive St # 200, Siloam Springs, AR 72761 Phone: 479-524-9550 | |
Kristie D Morgan, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 710 S Holly St, Siloam Springs, AR 72761 Phone: 479-524-8618 Fax: 479-750-4843 |