| Dale Thompson, LCSW | |
|
370 Silver Spring Cir, Colorado Springs, CO 80919-1706 | |
| (719) 237-5472 | |
| Not Available |
| Full Name | Dale Thompson |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 370 Silver Spring Cir, Colorado Springs, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588896542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 31713 (Texas) | 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 |
|---|---|
| Dale Thompson, LCSW 1650 Cochrane Cir, Colorado Springs, CO 80913-4603 Ph: (719) 526-7155 | Dale Thompson, LCSW 370 Silver Spring Cir, Colorado Springs, CO 80919-1706 Ph: (719) 237-5472 |
Mrs. Raquel Dominguez, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5373 N Union Blvd Ste 103, Colorado Springs, CO 80918 Phone: 719-644-6131 | |
Robyn Chapel, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3462 Briargate Blvd, Colorado Springs, CO 80920 Phone: 719-233-2866 | |
Mary J Prinz, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 115 Parkside Dr, Colorado Springs, CO 80910 Phone: 719-572-6340 Fax: 719-447-4791 | |
Jill Ann Karsh, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1843 Austin Bluffs Pkwy, Colorado Springs, CO 80918 Phone: 719-660-5351 | |
Mrs. Maggie Levin Ellias, MSS Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5540 Tech Center Dr, Suite 203, Colorado Springs, CO 80919 Phone: 719-548-0100 | |
Mr. Gary Dwayne West, MSW, LCSW, BCD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2965 Broadmoor Valley Rd, Ste B, Colorado Springs, CO 80906 Phone: 719-576-6617 | |
Ms. Jessica Juch, LCSW, LCDC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6541 Specker Ave, Colorado Springs, CO 80913 Phone: 719-524-0886 |