| Lisa A Foodim, LCSW | |
|
420 Deanne Ave, Newcastle, WY 82701-2936 | |
| (307) 746-4456 | |
| Not Available |
| Full Name | Lisa A Foodim |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 420 Deanne Ave, Newcastle, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619968500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW-1357 (Wyoming) | Primary |
| Entity Name | Northern Wyoming Mental Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558415927 PECOS PAC ID: 8921901125 Enrollment ID: O20040127000709 |
| Entity Name | Volunteers Of America Northern Rockies |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689249682 PECOS PAC ID: 1355733015 Enrollment ID: O20220110002012 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa A Foodim, LCSW 909 Long Dr Ste C, Sheridan, WY 82801-3282 Ph: (307) 672-8958 | Lisa A Foodim, LCSW 420 Deanne Ave, Newcastle, WY 82701-2936 Ph: (307) 746-4456 |
Hope Phelon, LCSW. LAT Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 420 Deanne Ave, Newcastle, WY 82701 Phone: 307-746-4456 Fax: 307-746-4470 | |
Kayla C Bergstrom, PCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1708 Gray Blvd, Newcastle, WY 82701 Phone: 307-746-8787 | |
Mike Ratigan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 420 Deanne Ave, Newcastle, WY 82701 Phone: 307-746-4456 Fax: 307-746-4470 | |
Leslie Hayman, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 420 Deanne Ave, Newcastle, WY 82701 Phone: 307-746-4456 Fax: 307-746-4470 |