| Carson Tyler Gentry, LSCSW | |
|
650 Huebner Rd, Fort Riley, KS 66442-4030 | |
| (785) 239-3627 | |
| (785) 240-8358 |
| Full Name | Carson Tyler Gentry |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 650 Huebner Rd, Fort Riley, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578174850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 06386 (Kansas) | Primary |
| Entity Name | Connection Therapy Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295232015 PECOS PAC ID: 3971841693 Enrollment ID: O20190205001231 |
| Mailing Address | Practice Location Address |
|---|---|
| Carson Tyler Gentry, LSCSW 650 Huebner Rd, Fort Riley, KS 66442-4030 Ph: (785) 239-3627 | Carson Tyler Gentry, LSCSW 650 Huebner Rd, Fort Riley, KS 66442-4030 Ph: (785) 239-3627 |
Susan Marie Gassman, LSCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 582 Carpenter Ave, Fort Riley, KS 66442 Phone: 785-479-0182 | |
Wendy Sue Hampton, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 650 Huebner Rd, Fort Riley, KS 66442 Phone: 785-239-7060 | |
Luis Manuel Lozoya, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 650 Huebner Rd, Fort Riley, KS 66442 Phone: 785-239-7208 Fax: 630-570-5779 | |
Jasmine Lachelle Cohen-young, LSCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 650 Huebner Rd, Fort Riley, KS 66442 Phone: 785-239-7000 Fax: 630-570-5779 | |
Erik Christensen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 650 Huebner Rd, Fort Riley, KS 66442 Phone: 785-240-5545 | |
Ronni Krystal Madden, LSCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 650 Huebner Rd, Fort Riley, KS 66442 Phone: 757-232-5586 | |
Casey James Barnett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 650 Huebner Rd, Fort Riley, KS 66442 Phone: 785-239-7667 |