| Martha K Brown, LCSW | |
|
401 John St, Evansville, IN 47713-2733 | |
| (812) 492-8330 | |
| (812) 492-8333 |
| Full Name | Martha K Brown |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 401 John St, Evansville, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750556551 | NPI | - | NPPES |
| 153874 | Other | IN | SIHO |
| 11489726 | Other | IN | CAQH |
| 839090005 | Other | IN | MEDICARE |
| 000000859951 | Other | IN | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34002958A (Indiana) | Primary |
| Entity Name | Lifespring Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851489942 PECOS PAC ID: 5294624508 Enrollment ID: O20040805000332 |
| Mailing Address | Practice Location Address |
|---|---|
| Martha K Brown, LCSW 415 Mulberry St, Evansville, IN 47713-1230 Ph: (812) 436-4232 | Martha K Brown, LCSW 401 John St, Evansville, IN 47713-2733 Ph: (812) 492-8330 |
Laura M Faulkner, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4001 John St, Evansville, IN 47714 Phone: 812-473-3144 Fax: 812-422-7558 | |
Brittany Bailey, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4001 John St, Evansville, IN 47714 Phone: 813-473-3144 | |
Madelynn R Wiethop, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7144 E Virginia St Ste C, Evansville, IN 47715 Phone: 812-479-1242 | |
Taylor Willard, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7409 Eagle Crest Blvd, Evansville, IN 47715 Phone: 812-426-9779 | |
Teresa A Mercer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7200 E Indiana St, Evansville, IN 47715 Phone: 812-476-7200 Fax: 812-471-4514 | |
Ramona L. Wilzbacher, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 60 S. Stockwell Road, Evansville, IN 47714 Phone: 812-476-5437 Fax: 812-422-7558 | |
John Leon Hufstedler, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 445 N Cross Pointe Blvd, Evansville, IN 47715 Phone: 812-471-4611 Fax: 812-471-4514 |