Susannah Margaret Hart Stephens, LICSW, SUDP | |
18490 Suquamish Way Ne, Suquamish, WA 98392-9532 | |
(360) 394-8558 | |
(360) 598-1724 |
Full Name | Susannah Margaret Hart Stephens |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 18490 Suquamish Way Ne, Suquamish, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639558885 | NPI | - | NPPES |
2206507 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | CP60672681 (Washington) | Secondary |
101YM0800X | Counselor - Mental Health | LW61492248 (Washington) | Primary |
Entity Name | Suquamish Tribal |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083747216 PECOS PAC ID: 3173975893 Enrollment ID: O20240216001062 |
Mailing Address | Practice Location Address |
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Susannah Margaret Hart Stephens, LICSW, SUDP 18490 Suquamish Way Ne, Suquamish, WA 98392-9532 Ph: (360) 394-8558 | Susannah Margaret Hart Stephens, LICSW, SUDP 18490 Suquamish Way Ne, Suquamish, WA 98392-9532 Ph: (360) 394-8558 |
Robin Lee Nielsen, CDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 18490 Suquamish Way Ne Unit 107, Suquamish, WA 98392 Phone: 360-394-8558 Fax: 360-598-1724 | |
Dolores Mcconaghy, CDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 18490 Suquamish Way Ne Unit 107, Suquamish, WA 98392 Phone: 360-394-8550 Fax: 360-598-1724 | |
Ms. Raeann M. Vantrojen, CDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 18490 Suquamish Way Ne Unit 107, Suquamish, WA 98392 Phone: 360-394-8599 Fax: 360-598-1724 | |
Sarah Sense-wilson, Counselor Medicare: Medicare Enrolled Practice Location: 18490 Suquamish Way Ne Unit 107, Suquamish, WA 98392 Phone: 360-394-8558 | |
Martha Jo Mitchell-colby, Counselor Medicare: Not Enrolled in Medicare Practice Location: 18513 Augusta Avenue, Suquamish, WA 98392 Phone: 360-394-8558 Fax: 360-598-1724 | |
Robin Sigo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 18490 Suquamish Way Ne Unit 107, Suquamish, WA 98392 Phone: 360-394-8558 Fax: 360-598-1724 | |
Grace Jones, AAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 18490 Suquamish Way Ne Unit 107, Suquamish, WA 98392 Phone: 360-394-8550 Fax: 360-598-1724 |