Tina Piantidosi-hall, LCSW | |
443 Highway 105, Palmer Lake, CO 80133-9003 | |
(719) 602-0914 | |
Not Available |
Full Name | Tina Piantidosi-hall |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 443 Highway 105, Palmer Lake, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558131847 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CSW.09929768 (Colorado) | Primary |
Entity Name | Deer Oaks Illinois Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316345291 PECOS PAC ID: 8628375730 Enrollment ID: O20170109001756 |
Mailing Address | Practice Location Address |
---|---|
Tina Piantidosi-hall, LCSW 13395 Voyager Pkwy Ste 130, Pmb 723, Colorado Springs, CO 80921-7677 Ph: (925) 899-5529 | Tina Piantidosi-hall, LCSW 443 Highway 105, Palmer Lake, CO 80133-9003 Ph: (719) 602-0914 |
Teshina Carter, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 443 Highway 105, Palmer Lake, CO 80133 Phone: 719-884-0063 | |
Dawn Derosier, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 443 S Co-105, Palmer Lake, CO 80133 Phone: 719-955-1800 | |
Samantha Myers, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 443 Co-105, Palmer Lake, CO 80133 Phone: 719-602-0914 |