| Emil William Sandstrom, LCSW | |
|
6999 Carrrolton Pike, Galax, VA 24333 | |
| (276) 238-5600 | |
| Not Available |
| Full Name | Emil William Sandstrom |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 6999 Carrrolton Pike, Galax, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215464292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904009870 (Virginia) | Primary |
| Entity Name | Mount Rogers Community Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255365599 PECOS PAC ID: 1254387475 Enrollment ID: O20050510001179 |
| Mailing Address | Practice Location Address |
|---|---|
| Emil William Sandstrom, LCSW 770 W Ridge Rd, Wytheville, VA 24382-1187 Ph: (276) 223-3200 | Emil William Sandstrom, LCSW 6999 Carrrolton Pike, Galax, VA 24333 Ph: (276) 238-5600 |
Brenda Worrell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 Glendale Rd, Galax, VA 24333 Phone: 276-236-1699 | |
Ms. Mary Kay Cole-mitchell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 Hospital Dr, Galax, VA 24333 Phone: 276-238-3502 Fax: 276-236-1715 | |
Patricia C Frost, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6999 Carrollton Pike Ste 1, Galax, VA 24333 Phone: 276-238-5600 | |
Ms. Catherine L Burcham, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 205 W Grayson St, Galax, VA 24333 Phone: 276-233-1263 Fax: 276-238-8342 | |
Sarah Allen Vaught, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1102 E Stuart Dr, Galax, VA 24333 Phone: 276-236-4263 | |
Sherry Lynn Lang, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6999 Carrollton Pike Ste 2, Galax, VA 24333 Phone: 276-238-5600 |