Susan Louise Stark, LCSW | |
1001 Rio Vista Dr, Fallon, NV 89406-5463 | |
(775) 213-3274 | |
Not Available |
Full Name | Susan Louise Stark |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 8 Years |
Location | 1001 Rio Vista Dr, Fallon, Nevada |
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 |
---|---|---|---|
1114418886 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 8485-C (Nevada) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fallon Tribal Health Center | 0042399578 | 12 |
Mindful Therapy Group Pc | 4981872561 | 252 |
Entity Name | Fallon Tribal Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023057478 PECOS PAC ID: 0042399578 Enrollment ID: O20080508000316 |
Mailing Address | Practice Location Address |
---|---|
Susan Louise Stark, LCSW 1001 Rio Vista Dr, Fallon, NV 89406-5463 Ph: (775) 213-3274 | Susan Louise Stark, LCSW 1001 Rio Vista Dr, Fallon, NV 89406-5463 Ph: (775) 213-3274 |
Shana Samantha Plount, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1490 Grimes St, Fallon, NV 89406 Phone: 775-423-1412 | |
Daniel J. Jardine, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1490 Grimes St, Fallon, NV 89406 Phone: 775-423-1412 | |
Spencer Kelsey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 345 W A St, Fallon, NV 89406 Phone: 775-428-6173 | |
Mary Clement, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1020 New River Pkwy, Fallon, NV 89406 Phone: 775-867-7254 | |
Jessica Homer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 20 N Ada St, Fallon, NV 89406 Phone: 775-391-6088 | |
Kay D Riehm, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 270 S Maine St # 8, Fallon, NV 89406 Phone: 775-423-5381 Fax: 775-423-4930 |