Sue Ellen Middagh, LCSW | |
13395 N Marana Main St, Bldg B, Marana, AZ 85653-7008 | |
(520) 682-1091 | |
(520) 682-4132 |
Full Name | Sue Ellen Middagh |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 34 Years |
Location | 13395 N Marana Main St, Marana, Arizona |
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 |
---|---|---|---|
1447460480 | NPI | - | NPPES |
642133 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW-4049 (Arizona) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Marana Health Center Inc | 2365348091 | 91 |
Entity Name | Marana Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447263405 PECOS PAC ID: 2365348091 Enrollment ID: O20031211000790 |
Mailing Address | Practice Location Address |
---|---|
Sue Ellen Middagh, LCSW Po Box 188, Marana, AZ 85653-0188 Ph: (520) 682-4111 | Sue Ellen Middagh, LCSW 13395 N Marana Main St, Bldg B, Marana, AZ 85653-7008 Ph: (520) 682-1091 |
Darrin Ambrosino, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 13395 N Marana Main St Bldg B, Marana, AZ 85653 Phone: 520-682-1091 Fax: 520-616-1442 | |
Marianne Mora, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 13395 N Marana Main St Bldg B, Marana, AZ 85653 Phone: 520-682-1091 Fax: 520-682-4132 | |
Mr. Kim Eric Couderc, M.S.W.,L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10127 N Tall Cotton Dr, Marana, AZ 85653 Phone: 847-668-2524 Fax: 847-668-2524 | |
Annette Caruso, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 13395 N Marana Main St, Marana, AZ 85653 Phone: 520-682-4111 Fax: 520-682-3817 | |
Steven Wilson Ii, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5224 W Dove Centre Rd, Marana, AZ 85658 Phone: 520-616-1445 Fax: 520-616-1446 | |
Stefanie Lockery, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 13395 N Marana Main St, Building B, Marana, AZ 85653 Phone: 520-682-1091 |