| Mariah Youngwirth, | |
|
2526 Seymour Ave, Cheyenne, WY 82001-3159 | |
| (307) 634-9653 | |
| Not Available |
| Full Name | Mariah Youngwirth |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 2526 Seymour Ave, Cheyenne, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235672320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | PCSW-1070 (Wyoming) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW-1713 (Wyoming) | Primary |
| 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 |
|---|---|
| Mariah Youngwirth, 2526 Seymour Ave, Cheyenne, WY 82001-3159 Ph: (307) 634-9653 | Mariah Youngwirth, 2526 Seymour Ave, Cheyenne, WY 82001-3159 Ph: (307) 634-9653 |
Gregory Stelzner, MSW, LCSW-950 Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2909 Bent Ave, Cheyenne, WY 82001 Phone: 307-772-1142 | |
Chelsea Hampton, MSW PCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 604 E 25th St, Cheyenne, WY 82001 Phone: 307-637-3953 | |
Corinne Lea Hogg, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2360 E Pershing Blvd, Cheyenne, WY 82001 Phone: 307-757-8583 | |
Alyssa Nicole Bjorkquist, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1807 Capitol Ave Ste 109, Cheyenne, WY 82001 Phone: 307-256-6467 | |
Mr. William David Anderson, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2360 E Pershing Blvd, Cheyenne, WY 82001 Phone: 307-778-7550 Fax: 307-778-7599 | |
Richard A Esquibel, BSW, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 604 E 25th St, Cheyenne, WY 82001 Phone: 307-637-3953 Fax: 307-638-6805 | |
Donna M Lucas, MSW LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 604 E 25th St, Cheyenne, WY 82001 Phone: 307-637-3953 Fax: 307-638-6805 |