Candace M Raine, LCSW | |
130 N Bent St Ste B, Powell, WY 82435-2742 | |
(307) 764-4107 | |
Not Available |
Full Name | Candace M Raine |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 130 N Bent St Ste B, Powell, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386391274 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW-1422 (Wyoming) | Primary |
Entity Name | Bighorn Valley Health Center Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568846962 PECOS PAC ID: 8820246077 Enrollment ID: O20220727003352 |
Mailing Address | Practice Location Address |
---|---|
Candace M Raine, LCSW 688 Antelope Gap Rd, Wheatland, WY 82201-8810 Ph: (307) 331-7869 | Candace M Raine, LCSW 130 N Bent St Ste B, Powell, WY 82435-2742 Ph: (307) 764-4107 |
Matthew Ty Barrus, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1106 Julie Ln, Powell, WY 82435 Phone: 307-271-7460 | |
Mrs. Jan Jensen Brinkerhoff, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 253 East 2nd, Powell, WY 82435 Phone: 307-254-1373 | |
Mrs. Lorraine May Steppe, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 777 Avenue H, Powell, WY 82435 Phone: 307-754-2267 | |
Douglas Sunderland, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 777 Avenue H, Powell, WY 82435 Phone: 307-754-2267 | |
Kristin Startin, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 125 S Division St, Powell, WY 82435 Phone: 307-754-7970 | |
Katherine Baxter Shelby, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 777 Avenue H, Powell, WY 82435 Phone: 307-754-7257 | |
Emily Kay Green, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 130 N Bent St Ste B, Powell, WY 82435 Phone: 307-764-4107 Fax: 307-764-1879 |