| Chad Wayne Shaklee, | |
|
1215 Pinewicket Way, Parker, CO 80138 | |
| (303) 870-7273 | |
| Not Available |
| Full Name | Chad Wayne Shaklee |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 1215 Pinewicket Way, Parker, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477241974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 992132 (Colorado) | Primary |
| 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 |
|---|---|
| Chad Wayne Shaklee, 1215 Pinewicket Way, Parker, CO 80138 Ph: (303) 870-7273 | Chad Wayne Shaklee, 1215 Pinewicket Way, Parker, CO 80138 Ph: (303) 870-7273 |
Mrs. Katherine Elizabeth Beale, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10269 Lodestone Way, Parker, CO 80134 Phone: 401-497-0911 | |
Formeka Watkins, SWC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 18624 E Mainstreet Apt 5-201, Parker, CO 80134 Phone: 470-273-9375 | |
Tamara Kane, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9301 Las Ramblas Ct Unit D, Parker, CO 80134 Phone: 720-828-7355 | |
Robert C Flores, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16154 Rock Crystal Dr, Parker, CO 80134 Phone: 303-946-5003 | |
Pamela Olmsted, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7712 Windwood Way, Parker, CO 80134 Phone: 720-334-2630 | |
Lucinda S Mcgarvin, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6150 Nth Elbert Pl, Parker, CO 80134 Phone: 307-421-4451 Fax: 720-379-4414 | |
Mrs. Darci Ann Dyer Harvey, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 19284 Cottonwood Dr, Parker, CO 80138 Phone: 720-777-9049 |