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2014 2nd Ave Nw Cullman AL 35058-0464 | |
| (256) 735-8152 | |
| (888) 255-4996 |
| Full Name | |
|---|---|
| Speciality | Social Worker |
| Location | 2014 2nd Ave Nw, Cullman, Alabama |
| Authorized Official Name and Position | Stacy Denney (OFFICE MANAGER) |
| Authorized Official Contact | 2567358152 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
2014 2nd Ave Nw Cullman AL 35058-0464 Ph: () - | 2014 2nd Ave Nw Cullman AL 35058-0464 Ph: (256) 735-8152 |
| NPI Number | 1366806325 |
|---|---|
| Provider Enumeration Date | 04/06/2016 |
| Last Update Date | 09/29/2022 |
| Certification Date | 09/29/2022 |
| Medicare PECOS PAC ID | 2466861901 |
|---|---|
| Medicare Enrollment ID | O20210512002692 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366806325 | NPI | - | NPPES |
| Provider Name | Susan E Goggins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780628651 PECOS PAC ID: 2961500517 Enrollment ID: I20070606000259 |
| Provider Name | Sherry N Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699865659 PECOS PAC ID: 9931131760 Enrollment ID: I20110815000333 |
| Provider Name | Kristin G Wakefield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811392152 PECOS PAC ID: 8820311376 Enrollment ID: I20150108001133 |
| Provider Name | Candace Guthery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023673647 PECOS PAC ID: 3274964226 Enrollment ID: I20200507002522 |
| Provider Name | Emilie G Gilbert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477021400 PECOS PAC ID: 8123488897 Enrollment ID: I20230713002505 |
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