Stacey Lynn Rodriguez, LSCSW | |
555 N Woodlawn St, Ste 3105, Wichita, KS 67208-3673 | |
(316) 651-1230 | |
(316) 685-0768 |
Full Name | Stacey Lynn Rodriguez |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 25 Years |
Location | 555 N Woodlawn St, Wichita, Kansas |
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 |
---|---|---|---|
1972585495 | NPI | - | NPPES |
071010 | Other | KS | BCBS PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2327 (Kansas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mental Health Association Of South Central Kansas, Inc. | 1153400197 | 6 |
Entity Name | Mental Health Association Of South Central Kansas, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689710568 PECOS PAC ID: 1153400197 Enrollment ID: O20110407000623 |
Mailing Address | Practice Location Address |
---|---|
Stacey Lynn Rodriguez, LSCSW 555 N Woodlawn St, Ste 3105, Wichita, KS 67208-3673 Ph: (316) 651-1230 | Stacey Lynn Rodriguez, LSCSW 555 N Woodlawn St, Ste 3105, Wichita, KS 67208-3673 Ph: (316) 651-1230 |
Michael B Bonebrake, LSCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 240 N Rock Road, Suite 303, Wichita, KS 67206 Phone: 316-683-3841 Fax: 316-686-7366 | |
Teresa June Kelzer, LSCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10209 W Central Ave, Suite 301, Wichita, KS 67212 Phone: 316-737-0544 Fax: 316-943-1773 | |
Mrs. Marcia Simoneau, LSCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 333 S Greenwood St, Wichita, KS 67211 Phone: 316-264-8800 Fax: 316-264-8809 | |
Teresa Obrien, LSCSW, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1234 N Emporia Ave, Wichita, KS 67214 Phone: 316-282-4985 | |
Mrs. Leelin Tayag Day, LSCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6611 E Central Ave Ste C, Wichita, KS 67206 Phone: 316-648-1157 Fax: 866-316-4467 | |
Naomi Lee Anderson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9429 E Shannon Way Ct, Wichita, KS 67206 Phone: 316-634-1192 | |
Elizabeth J Rempel, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2318 E Central Ave, Wichita, KS 67214 Phone: 316-262-2415 Fax: 316-262-0138 |