| Aimee Benton Wickersham, LCSW | |
|
15593 W Mackenzie Dr, Goodyear, AZ 85395-7779 | |
| (321) 961-3393 | |
| Not Available |
| Full Name | Aimee Benton Wickersham |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 15593 W Mackenzie Dr, Goodyear, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104426204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW-18914 (Arizona) | Primary |
| Entity Name | Teri's Health Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215422126 PECOS PAC ID: 2163857392 Enrollment ID: O20200116002404 |
| Entity Name | Live Life Now Health Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770111429 PECOS PAC ID: 9537581897 Enrollment ID: O20210720003958 |
| Mailing Address | Practice Location Address |
|---|---|
| Aimee Benton Wickersham, LCSW 15593 W Mackenzie Dr, Goodyear, AZ 85395-7779 Ph: (321) 961-3393 | Aimee Benton Wickersham, LCSW 15593 W Mackenzie Dr, Goodyear, AZ 85395-7779 Ph: (321) 961-3393 |
Mr. James W Stocks., LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2620 N. 140th Ave, Suite 101, Goodyear, AZ 85395 Phone: 623-536-7956 Fax: 623-536-9806 | |
Samantha Armes, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 140 N Litchfield Rd Ste 106, Goodyear, AZ 85338 Phone: 602-323-3344 | |
Raquel Velasco Garcia, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13471 W Cornerstone Blvd, Goodyear, AZ 85395 Phone: 480-964-2273 | |
Maria Elizabeth Wildey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15150 W Park Pl Fl 2, Goodyear, AZ 85395 Phone: 480-955-1125 | |
Kathleen Paat, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 250 N Litchfield Rd Ste 260, Goodyear, AZ 85338 Phone: 623-337-2275 | |
Amber Enriquez, LCSW, C-ACYFSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 500 N Estrella Pkwy Ste B2-272, Goodyear, AZ 85338 Phone: 602-699-6171 Fax: 833-474-1228 |