| Miranda Learmonth Tucker, MSW, LCSW | |
|
3092 Evergreen Pkwy Ste 202, Evergreen, CO 80439-7849 | |
| (720) 924-1048 | |
| Not Available |
| Full Name | Miranda Learmonth Tucker |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 3092 Evergreen Pkwy Ste 202, Evergreen, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760635395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW2095 (Colorado) | Primary |
| Entity Name | Sondermind Provider Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210113002826 |
| Mailing Address | Practice Location Address |
|---|---|
| Miranda Learmonth Tucker, MSW, LCSW 3092 Evergreen Pkwy Ste 202, Evergreen, CO 80439-7849 Ph: (720) 924-1048 | Miranda Learmonth Tucker, MSW, LCSW 3092 Evergreen Pkwy Ste 202, Evergreen, CO 80439-7849 Ph: (720) 924-1048 |
Gladys Villa, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 31481 Upper Bear Creek Rd, Evergreen, CO 80439 Phone: 559-307-1800 | |
Kari Read, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2922 Evergreen Pkwy Ste B207, Evergreen, CO 80439 Phone: 720-415-7710 | |
Malissa Trojan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 27905 Meadow Dr Unit 11, Evergreen, CO 80439 Phone: 303-335-9118 Fax: 866-458-0456 | |
Laura Brown, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 32186 Castle Ct Ste 230, Evergreen, CO 80439 Phone: 303-809-6492 | |
Laura Duvall Ferguson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6949 Highway 73 Ste Mw-3, Evergreen, CO 80439 Phone: 720-318-1373 | |
Sara Danielle Holing, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 185 Beaver Brook Canyon Rd, Evergreen, CO 80439 Phone: 303-674-4600 | |
Monica Jean Connell, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 29838 Aspen Ln, Evergreen, CO 80439 Phone: 720-260-4029 |