Sommer Marie Charles, | |
830 Belle Dr, Breaux Bridge, LA 70517-4630 | |
(337) 344-1548 | |
Not Available |
Full Name | Sommer Marie Charles |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 830 Belle Dr, Breaux Bridge, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245919323 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 15946 (Louisiana) | Primary |
Entity Name | Azalea Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043999170 PECOS PAC ID: 8628432028 Enrollment ID: O20230919002265 |
Mailing Address | Practice Location Address |
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Sommer Marie Charles, 830 Belle Dr, Breaux Bridge, LA 70517-4630 Ph: (337) 344-1548 | Sommer Marie Charles, 830 Belle Dr, Breaux Bridge, LA 70517-4630 Ph: (337) 344-1548 |
Jeffrey Lynn Tyler, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1069 Melancon Dr, Breaux Bridge, LA 70517 Phone: 337-205-8774 | |
Mrs. Tiffany R Shaw, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3310 Daisy Meadows Ln, Breaux Bridge, LA 70517 Phone: 337-351-7071 | |
Sierra Boutte, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2309 Grand Point Rd, Breaux Bridge, LA 70517 Phone: 337-935-2310 | |
Mandy Alecia Mccoy, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 815 Crescent St, Breaux Bridge, LA 70517 Phone: 318-613-7675 | |
Mr. Ray Wayne Miller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 319 Robbie Rd, Breaux Bridge, LA 70517 Phone: 337-322-3030 | |
Mrs. Natalie Marea Duff, LCSW, BACS Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 2309 Grand Point Rd, Breaux Bridge, LA 70517 Phone: 337-935-2310 Fax: 337-350-3940 |