| Dominique Spranger, | |
|
614 W Bypass, Andalusia, AL 36420-4731 | |
| (334) 222-3555 | |
| Not Available |
| Full Name | Dominique Spranger |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 614 W Bypass, Andalusia, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174113591 | NPI | - | NPPES |
| 122280 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 5321G (Alabama) | Primary |
| Entity Name | Cosby & Cosby Counseling & Consultation Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679807291 PECOS PAC ID: 4284859323 Enrollment ID: O20140707000476 |
| Mailing Address | Practice Location Address |
|---|---|
| Dominique Spranger, 614 W Bypass, Andalusia, AL 36420-4731 Ph: (334) 222-3555 | Dominique Spranger, 614 W Bypass, Andalusia, AL 36420-4731 Ph: (334) 222-3555 |
Jennifer Butts, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 109 Medical Park Dr Ste C, Andalusia, AL 36420 Phone: 334-222-1818 Fax: 334-222-1919 | |
Sonja Jones, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 109 Medical Park Dr Ste C, Andalusia, AL 36420 Phone: 334-222-1818 Fax: 334-222-1919 | |
Marlene Patterson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 109 Medical Park Dr Ste C, Andalusia, AL 36420 Phone: 342-221-8183 Fax: 334-222-1919 | |
Rachel Pridgen, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 205b Church St, Andalusia, AL 36420 Phone: 334-892-3252 | |
Carrie Lou Mitchell, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 109 Medical Park Dr Ste C, Andalusia, AL 36420 Phone: 334-222-1818 Fax: 334-222-1919 | |
Carmen B Cooper, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 501 E 2nd St, Andalusia, AL 36420 Phone: 334-488-1946 |