Tammy Jo Ponder, MSW, LCSW | |
215 N Jefferson St, Rockville, IN 47872-1711 | |
(765) 569-2031 | |
Not Available |
Full Name | Tammy Jo Ponder |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 215 N Jefferson St, Rockville, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184831281 | NPI | - | NPPES |
000000532907 | Other | ANTHEM BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 34005386A (Indiana) | Primary |
Entity Name | Arnett Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164490843 PECOS PAC ID: 0749184380 Enrollment ID: O20031125000119 |
Entity Name | Lswhb Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407325939 PECOS PAC ID: 9638414204 Enrollment ID: O20220311000482 |
Mailing Address | Practice Location Address |
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Tammy Jo Ponder, MSW, LCSW Po Box 4323, Terre Haute, IN 47804-0323 Ph: () - | Tammy Jo Ponder, MSW, LCSW 215 N Jefferson St, Rockville, IN 47872-1711 Ph: (765) 569-2031 |
Rebecca Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3911 E. Lee Drive, Rockville, IN 47872 Phone: 765-569-5593 Fax: 765-569-5291 | |
Scott M Nauman, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 727 N Lincoln Rd, Rockville, IN 47872 Phone: 765-569-1123 |