| Dava R Wilson, CSW | |
|
1143 Fairway St Ste 320, Bowling Green, KY 42103-2452 | |
| (270) 904-6307 | |
| (270) 904-6314 |
| Full Name | Dava R Wilson |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1143 Fairway St Ste 320, Bowling Green, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619430444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 253861 (Kentucky) | Primary |
| 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: O20210414000053 |
| Mailing Address | Practice Location Address |
|---|---|
| Dava R Wilson, CSW 10100 Elida Rd, Delphos, OH 45833-9058 Ph: (419) 695-8010 | Dava R Wilson, CSW 1143 Fairway St Ste 320, Bowling Green, KY 42103-2452 Ph: (270) 904-6307 |
Rebecca Woodrow, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1910 Lyda Ave, Bowling Green, KY 42104 Phone: 270-904-6567 Fax: 270-904-6570 | |
Jamee N. Coombes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 948 Elm St Ste 2, Bowling Green, KY 42101 Phone: 270-266-1188 | |
Alexandria Ann Carman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 661 Us 31w Byp, Bowling Green, KY 42101 Phone: 364-203-9250 | |
Tara Defoor, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1830 Destiny Ln Ste 105, Bowling Green, KY 42104 Phone: 270-599-0847 | |
Mr. David Robert Rupsch Ii, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 996 Wilkinson Trce, Suite A-4, Bowling Green, KY 42103 Phone: 270-904-1072 Fax: 270-904-1073 | |
Kelly R Foust, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2815 Russellville Rd, Bowling Green, KY 42101 Phone: 270-883-1109 | |
Carolyn Kates-glass, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1830 Destiny Ln, Suite 112, Bowling Green, KY 42104 Phone: 270-392-5531 Fax: 270-393-9011 |