Katherine Ann Lundell, LCSW | |
22782 E Pegasus Pkwy, Queen Creek, AZ 85142-2484 | |
(760) 310-1504 | |
Not Available |
Full Name | Katherine Ann Lundell |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 22782 E Pegasus Pkwy, Queen Creek, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578201893 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 87223 (California) | Primary |
Entity Name | Blue Moon Senior Counseling Of California Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447678990 PECOS PAC ID: 9335360981 Enrollment ID: O20141023000497 |
Mailing Address | Practice Location Address |
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Katherine Ann Lundell, LCSW 22782 E Pegasus Pkwy, Queen Creek, AZ 85142-2484 Ph: (760) 310-1504 | Katherine Ann Lundell, LCSW 22782 E Pegasus Pkwy, Queen Creek, AZ 85142-2484 Ph: (760) 310-1504 |
Jeffrey Michael Troutman, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 21321 E Ocotillo Rd Ste 113, Queen Creek, AZ 85142 Phone: 480-465-9841 | |
Mrs. Sharon Lee Mendenhall, LCSW, CCBT, DAPA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 301 E Combs Rd, Queen Creek, AZ 85240 Phone: 480-987-5300 Fax: 480-987-5009 | |
Antonette Sly, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 23151 E Watford Dr, Queen Creek, AZ 85142 Phone: 845-239-2208 | |
Mrs. Pinal Patel, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 22633 E Indiana Ave, Queen Creek, AZ 85142 Phone: 847-769-3944 Fax: 847-789-0085 | |
Sierra Ann Brighton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 20185 E Ocotillo Rd Ste 104, Queen Creek, AZ 85142 Phone: 480-704-3474 Fax: 888-221-2541 | |
Merrill R. Heslop, L.C.S.W. Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 20185 E Ocotillo Rd, #105, Queen Creek, AZ 85242 Phone: 480-987-2700 Fax: 480-987-2703 | |
Nicole Lea Lore, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 20185 E Ocotillo Rd Ste 105, Queen Creek, AZ 85242 Phone: 480-987-2700 Fax: 480-987-2703 |