| Alicia Sharon Fankell, LCSW | |
| 4455 E 12th Ave, Denver, CO 80220-2415 | |
| (303) 504-7724 | |
| Not Available | 
| Full Name | Alicia Sharon Fankell | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 4455 E 12th Ave, Denver, Colorado | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1932476645 | NPI | - | NPPES | 
| 1932476645 | Medicaid | CO | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 9923588 (Colorado) | Primary | 
| Entity Name | Mental Health Center Of Denver | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1396566444 PECOS PAC ID: 3476440314 Enrollment ID: O20040303001271 | 
| Entity Name | Sondermind Provider Network Llc | 
|---|---|
| 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 | 
|---|---|
| Alicia Sharon Fankell, LCSW 4455 E 12th Ave, Denver, CO 80220-2415 Ph: (303) 504-7724 | Alicia Sharon Fankell, LCSW 4455 E 12th Ave, Denver, CO 80220-2415 Ph: (303) 504-7724 | 
| Dr. Joannah Ginsbur Ganz, MSW, DSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3050 Richard Allen Ct, Denver, CO 80205 Phone: 214-842-9794 | |
| Mr. John Carlton Crowe, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4545 Navajo St, Denver, CO 80211 Phone: 720-956-2667 Fax: 720-956-2313 | |
| Ilene Nicole Solomon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1405 Federal Blvd, Denver, CO 80204 Phone: 303-504-1517 | |
| Amy E Stambuk, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 495 Uinta Way, Suite 120, Denver, CO 80230 Phone: 303-344-4100 Fax: 303-484-3575 | |
| Jessica Renee Kudlock, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 777 Bannock St, Denver, CO 80204 Phone: 303-602-7220 Fax: 303-436-7381 | |
| Maia Russek, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2111 Champa St, Denver, CO 80205 Phone: 303-297-4008 Fax: 303-764-6271 | |
| Jennifer Lynn Key, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1243 Gaylord St Apt 508, Denver, CO 80206 Phone: 303-548-3018 |