Ms Diane Marie Carson, LAC, LCSW | |
1569 Bradley Dr, Boulder, CO 80305-7371 | |
(303) 505-0963 | |
Not Available |
Full Name | Ms Diane Marie Carson |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1569 Bradley Dr, Boulder, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376859918 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210113002826 |
Mailing Address | Practice Location Address |
---|---|
Ms Diane Marie Carson, LAC, LCSW 4150 Darley Ave Ste 4, Boulder, CO 80305-6537 Ph: (303) 505-0963 | Ms Diane Marie Carson, LAC, LCSW 1569 Bradley Dr, Boulder, CO 80305-7371 Ph: (303) 505-0963 |
Deborah Jean Rutt, PHD, LCSW, MS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5946 Gunbarrel Ave, Unit B, Boulder, CO 80301 Phone: 303-506-8177 | |
Ms. Cindy J Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1244 Pine St, Boulder, CO 80302 Phone: 720-841-6275 | |
Phillip Horner, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 100 Arapahoe Ave Ste 9, Boulder, CO 80302 Phone: 720-316-7774 | |
Elizabeth Klaers, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2955 Valmont Rd Ste 110, Boulder, CO 80301 Phone: 720-446-6706 | |
Lia Chalem Doyle-burke, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1942 Broadway Ste 314c, Boulder, CO 80302 Phone: 503-421-7978 | |
Mrs. Melissa L Jones, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2760 29th St Ste 2c, Boulder, CO 80301 Phone: 303-775-8474 | |
Linda Davis, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1333 Iris Avenue, Boulder, CO 80304 Phone: 303-443-8500 |