| Janika Long, | |
|
350 City View Dr Ste 206, Evanston, WY 82930-5326 | |
| (307) 789-7915 | |
| (307) 789-6009 |
| Full Name | Janika Long |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 3 Years |
| Location | 350 City View Dr Ste 206, Evanston, Wyoming |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073271078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW-1136 (Wyoming) | Primary |
| 171M00000X | Case Manager/care Coordinator | (NU) | Secondary |
| 175T00000X | Peer Specialist | (NU) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pioneer Counseling Services | 8426030156 | 5 |
| Entity Name | Pioneer Counseling Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093792095 PECOS PAC ID: 8426030156 Enrollment ID: O20040604000851 |
| Mailing Address | Practice Location Address |
|---|---|
| Janika Long, 350 City View Dr Ste 206, Evanston, WY 82930-5326 Ph: (307) 789-7915 | Janika Long, 350 City View Dr Ste 206, Evanston, WY 82930-5326 Ph: (307) 789-7915 |
Karla Marie Toomer, MSW, PCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Po Box 177, Evanston, WY 82931 Phone: 307-444-0676 |
Ms. Danalynn M Esponge-brisbois, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 190 Overthrust Rd, Evanston, WY 82930 Phone: 307-789-4224 |
Ms. Shontay Marie Roe, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 109 Barrett Ave, Evanston, WY 82930 Phone: 307-679-3854 Fax: 307-789-4225 |
Tina Taylor, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 184 Seminole Dr, Evanston, WY 82930 Phone: 307-679-1822 |
Ms. Patricia Ann Roberts, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 831 S Hwy 150, Evanston, WY 82931 Phone: 307-789-3464 Fax: 307-789-7373 |
Angelia Hintz, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 190 Overthrust Rd., Evanston, WY 82930 Phone: 307-789-4224 |
Courtney Westbrook, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 350 City View Dr Ste 206, Evanston, WY 82930 Phone: 307-789-7915 Fax: 307-789-6009 |