Mamie Tisue, LCSW | |
134 F St Ste 209, Salida, CO 81201-2160 | |
(309) 236-3254 | |
Not Available |
Full Name | Mamie Tisue |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 134 F St Ste 209, Salida, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700351905 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CSW.09924968 (Colorado) | Primary |
Entity Name | Mental Health Center Of Denver |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447242383 PECOS PAC ID: 3476440314 Enrollment ID: O20040303001271 |
Mailing Address | Practice Location Address |
---|---|
Mamie Tisue, LCSW Po Box 1355, Salida, CO 81201-1355 Ph: (309) 236-3254 | Mamie Tisue, LCSW 134 F St Ste 209, Salida, CO 81201-2160 Ph: (309) 236-3254 |
Maryann Kuzio Longwell, M.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1548 G St, 2a, Salida, CO 81201 Phone: 719-329-4810 | |
Ms. Elizabeth Durham Floyde, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 123 G St Ste 8, Salida, CO 81201 Phone: 719-717-9009 Fax: 719-717-9009 | |
Steven M Farmer, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 111 Vesta Rd, Salida, CO 81201 Phone: 719-539-6502 | |
Sara Papathakis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 245 E Hwy 50, Salida, CO 81201 Phone: 719-398-1167 | |
Sarah Rasmussen, SWC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8990 County Road 165, Salida, CO 81201 Phone: 719-285-9385 Fax: 719-239-3914 | |
Sarah Briggs, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 111 Vesta Rd, Salida, CO 81201 Phone: 719-275-2351 Fax: 719-269-9386 |