| Chaslyn Eve-anmarie Bruner, LCSW | |
|
222 Phillip Stone Way, Central City, KY 42330-1929 | |
| (866) 934-4611 | |
| Not Available |
| Full Name | Chaslyn Eve-anmarie Bruner |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 222 Phillip Stone Way, Central City, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932828555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 258123 (Kentucky) | Primary |
| Entity Name | A New Start Ii, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467823328 PECOS PAC ID: 6204170848 Enrollment ID: O20181207001632 |
| Entity Name | A New Start Primary Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043796733 PECOS PAC ID: 8123362779 Enrollment ID: O20201204001956 |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220604000237 |
| Mailing Address | Practice Location Address |
|---|---|
| Chaslyn Eve-anmarie Bruner, LCSW 222 Phillip Stone Way, Central City, KY 42330-1929 Ph: (866) 934-4611 | Chaslyn Eve-anmarie Bruner, LCSW 222 Phillip Stone Way, Central City, KY 42330-1929 Ph: (866) 934-4611 |
Mrs. Dana Vice, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 222 Phillip Stone Way, Central City, KY 42330 Phone: 270-754-3494 | |
Mallory Moore, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 109 S 2nd St, Central City, KY 42330 Phone: 270-931-5113 Fax: 270-754-4633 | |
Amanda S. Cecil, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 600 W Everly Brothers Blvd, Central City, KY 42330 Phone: 270-903-6099 |