Vickie L Wood, LCSW | |
350 City View Dr, 302, Evanston, WY 82930-5327 | |
(307) 789-7915 | |
(307) 789-6009 |
Full Name | Vickie L Wood |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 20 Years |
Location | 350 City View Dr, Evanston, Wyoming |
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 |
---|---|---|---|
1528287018 | NPI | - | NPPES |
106662500 | Medicaid | WY | |
313692 | Other | WY | BCBS OF WYOMING |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW-523 (Wyoming) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pioneer Counseling Services | 8426030156 | 3 |
Entity Name | Pioneer Counseling Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093792095 PECOS PAC ID: 8426030156 Enrollment ID: O20040604000851 |
Mailing Address | Practice Location Address |
---|---|
Vickie L Wood, LCSW 350 City View Dr, 302, Evanston, WY 82930-5327 Ph: (307) 789-7915 | Vickie L Wood, LCSW 350 City View Dr, 302, Evanston, WY 82930-5327 Ph: (307) 789-7915 |
Ms. Danalynn M Esponge-brisbois, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 190 Overthrust Rd, Evanston, WY 82930 Phone: 307-789-4224 | |
Ms. Shontay Marie Roe, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 109 Barrett Ave, Evanston, WY 82930 Phone: 307-679-3854 Fax: 307-789-4225 | |
Tina Taylor, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 184 Seminole Dr, Evanston, WY 82930 Phone: 307-679-1822 | |
Ms. Patricia Ann Roberts, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 831 S Hwy 150, Evanston, WY 82931 Phone: 307-789-3464 Fax: 307-789-7373 | |
Angelia Hintz, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 190 Overthrust Rd., Evanston, WY 82930 Phone: 307-789-4224 | |
Joshua Robert Cosgrave, MSW, PCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 190 Overthrust Rd, Evanston, WY 82930 Phone: 307-789-4224 | |
Ed Davis Lyles, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 350 City View Dr, #302, Evanston, WY 82930 Phone: 307-789-7915 Fax: 307-789-6009 |