Tammy S Pentecost, MSW | |
308 Barnes Rd, Williamstown, KY 41097-9483 | |
(859) 824-4442 | |
(859) 824-4448 |
Full Name | Tammy S Pentecost |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 308 Barnes Rd, Williamstown, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285992594 | NPI | - | NPPES |
610661458 | Other | KY | TAX ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 5549 (Kentucky) | Primary |
Entity Name | Counseling And Diagnostic Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679644967 PECOS PAC ID: 4981976222 Enrollment ID: O20170821002027 |
Mailing Address | Practice Location Address |
---|---|
Tammy S Pentecost, MSW Po Box 2680, Covington, KY 41012-2680 Ph: (859) 824-4442 | Tammy S Pentecost, MSW 308 Barnes Rd, Williamstown, KY 41097-9483 Ph: (859) 824-4442 |
Rachael Sholar, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 103 Barnes Rd Ste I, Williamstown, KY 41097 Phone: 844-937-2465 | |
Traci Maines, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 308 Barnes Rd, Williamstown, KY 41097 Phone: 859-824-4442 | |
Tabitha Simpson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 308 Barnes Rd, Williamstown, KY 41097 Phone: 859-331-3292 | |
Paula Brun, MSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 308 Barnes Rd, Williamstown, KY 41097 Phone: 859-578-3200 Fax: 859-431-3055 | |
Mary Diane Hamm, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 308 Barnes Rd, Williamstown, KY 41097 Phone: 859-824-4442 Fax: 859-824-4448 |