| Marissa Josub, LCSW | |
|
230 Chapel Sq Unit D-102, Avon, CO 81620-6497 | |
| (970) 945-2840 | |
| (970) 945-2893 |
| Full Name | Marissa Josub |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 230 Chapel Sq Unit D-102, Avon, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003211830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW.09930199 (Colorado) | Primary |
| Entity Name | Eagle Valley Mental Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972267292 PECOS PAC ID: 6204297450 Enrollment ID: O20230803002737 |
| Mailing Address | Practice Location Address |
|---|---|
| Marissa Josub, LCSW Po Box 339, Glenwood Springs, CO 81602-0339 Ph: (970) 945-2840 | Marissa Josub, LCSW 230 Chapel Sq Unit D-102, Avon, CO 81620-6497 Ph: (970) 945-2840 |
Jennifer L. Bouldry, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 50 Buck Creek Road, Suite 200, Avon, CO 81620 Phone: 970-926-6340 Fax: 970-926-6348 | |
Ms. Jill Sarah Zimmerman, M.S.W., LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 48 E. Beaver Creek Blvd., Ste. 209, Avon, CO 81620 Phone: 970-949-0404 Fax: 970-479-0731 |