| Erica Lynne Muse, LCSW | |
|
1414 Eagle Ridge Rd, Prescott, AZ 86301-5400 | |
| (928) 910-2947 | |
| Not Available |
| Full Name | Erica Lynne Muse |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1414 Eagle Ridge Rd, Prescott, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427663210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW-22019 (Arizona) | 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: O20210318002844 |
| Mailing Address | Practice Location Address |
|---|---|
| Erica Lynne Muse, LCSW 1414 Eagle Ridge Rd, Prescott, AZ 86301-5400 Ph: (928) 910-2947 | Erica Lynne Muse, LCSW 1414 Eagle Ridge Rd, Prescott, AZ 86301-5400 Ph: (928) 910-2947 |
Mr. Kenneth George Fournier, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 N Us Highway 89, Prescott, AZ 86313 Phone: 928-445-4860 Fax: 928-776-6116 | |
Heidi Dell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 N Us Highway 89, Prescott, AZ 86313 Phone: 928-925-6180 | |
Beth Rossi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 515 W Hillside Ave, Prescott, AZ 86301 Phone: 623-696-0931 | |
Lincoln Sperry, LMSW-13983 Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 214 N Arizona Ave, Prescott, AZ 86301 Phone: 928-776-8251 | |
Mr. Robert Timothy Tencer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 N State Route 89, Prescott, AZ 86313 Phone: 928-445-4860 | |
Mr. Robert Ira Browne, CSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 340 N Mount Vernon Ave, Prescott, AZ 86301 Phone: 928-445-8393 | |
Mrs. Sally Ann Lemberg, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 812 Valley St, Prescott, AZ 86305 Phone: 928-776-7885 Fax: 928-445-0914 |