Thomas Brant Hall, LCSW | |
1302 Calle De La Merced, Espanola, NM 87532-2624 | |
(505) 747-0081 | |
Not Available |
Full Name | Thomas Brant Hall |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 1302 Calle De La Merced, Espanola, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538416086 | NPI | - | NPPES |
02032279 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | C-09466 (New Mexico) | Secondary |
1041C0700X | Social Worker - Clinical | CSW.09924914 (Colorado) | Primary |
Entity Name | Thrive Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20171025002417 |
Mailing Address | Practice Location Address |
---|---|
Thomas Brant Hall, LCSW 557 E 9th St, Loveland, CO 80537-4923 Ph: (505) 455-6967 | Thomas Brant Hall, LCSW 1302 Calle De La Merced, Espanola, NM 87532-2624 Ph: (505) 747-0081 |
Tracey E Garcia, L.M.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2010 Industrial Park Rd, Espanola, NM 87532 Phone: 505-753-7395 Fax: 505-753-8373 | |
Mrs. Edna Elizabeth Gonzales-anzaldua, LISW,LADAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 818 S Mccurdy Rd, Espanola, NM 87532 Phone: 505-747-7223 | |
Yevgeni Balicek, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2010 Industrial Park Rd, Espanola, NM 87532 Phone: 505-753-7395 Fax: 505-753-8373 | |
Anita A Vigil, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1206 N Riverside Dr, Espanola, NM 87532 Phone: 505-747-0102 Fax: 505-753-9758 | |
Ms. Satsangeet Kaur Khalsa, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1302 Calle De La Merced, Espanola, NM 87532 Phone: 505-747-0081 | |
Ms. Marjorie Ann Crary, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 415 N Paseo De Onate, Espanola, NM 87532 Phone: 505-927-1652 Fax: 505-747-7413 | |
Mr. Dennis R. Glavan, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 714 Calle Don Diego, Espanola, NM 87532 Phone: 505-367-3342 |