Angela Shepherd, | |
715 N College Ave, El Dorado, AR 71730-4403 | |
(870) 862-7921 | |
Not Available |
Full Name | Angela Shepherd |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 715 N College Ave, El Dorado, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750163382 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 23787 (Minnesota) | Secondary |
1041C0700X | Social Worker - Clinical | 13383-C (Arkansas) | Primary |
Entity Name | South Arkansas Regional Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467423384 PECOS PAC ID: 0941199988 Enrollment ID: O20040315001172 |
Mailing Address | Practice Location Address |
---|---|
Angela Shepherd, 715 N College Ave, El Dorado, AR 71730-4403 Ph: (870) 862-7921 | Angela Shepherd, 715 N College Ave, El Dorado, AR 71730-4403 Ph: (870) 862-7921 |
Philip C Packard, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 715 N College Ave, El Dorado, AR 71730 Phone: 870-862-7921 Fax: 870-864-2490 | |
Erin P Shaffer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 715 N College Ave, El Dorado, AR 71730 Phone: 870-862-7921 Fax: 870-864-2490 | |
Carrie D Davis, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 715 N College Ave, El Dorado, AR 71730 Phone: 870-862-7921 Fax: 870-864-2490 | |
Ms. Rebekah Marie Dixon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 715 N College Ave, El Dorado, AR 71730 Phone: 870-862-7921 Fax: 870-864-2490 | |
Crystal Ann Brooks, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 709 Champagnolle Rd, El Dorado, AR 71730 Phone: 937-510-6317 | |
Claudia C Taylor, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1905 N Calion Rd, El Dorado, AR 71730 Phone: 870-863-0031 |