Amanda Wilson, | |
2300 Foothill Blvd, Rock Springs, WY 82901-5610 | |
(307) 352-6677 | |
Not Available |
Full Name | Amanda Wilson |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2300 Foothill Blvd, Rock Springs, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194487702 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW-1678 (Wyoming) | Primary |
Entity Name | Castle Rock Special Hospital District |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740206382 PECOS PAC ID: 2466340138 Enrollment ID: O20040308001445 |
Mailing Address | Practice Location Address |
---|---|
Amanda Wilson, 2300 Foothill Blvd, Rock Springs, WY 82901-5610 Ph: (307) 352-6677 | Amanda Wilson, 2300 Foothill Blvd, Rock Springs, WY 82901-5610 Ph: (307) 352-6677 |
Deborah Klug, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2300 Foothill Blvd, Rock Springs, WY 82901 Phone: 307-352-6677 | |
Jamie Elyse Busenbark, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2300 Foothill Blvd, Rock Springs, WY 82901 Phone: 307-352-6677 | |
Carrie Todd, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 538 Pilot Butte Ave Ste 5, Rock Springs, WY 82901 Phone: 307-228-5950 | |
Jessica Nielson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1124 College Dr, Rock Springs, WY 82901 Phone: 307-352-6677 | |
Mrs. Lynette Hughes, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1124 College Dr, Rock Springs, WY 82901 Phone: 307-352-6677 Fax: 307-352-6614 | |
Grace Vigil, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2300 Foothill Blvd, Rock Springs, WY 82901 Phone: 307-352-6677 Fax: 307-352-6614 | |
Madelyn Malan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2300 Foothill Blvd, Rock Springs, WY 82901 Phone: 307-352-6677 Fax: 307-352-6614 |