Misty Lynn Walter, LCSW | |
57 Dora Lane, Greenup, KY 41144 | |
(606) 473-7333 | |
(606) 473-7335 |
Full Name | Misty Lynn Walter |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 57 Dora Lane, Greenup, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922028737 | NPI | - | NPPES |
30610026 | Medicaid | KY | |
000000346980 | Other | ANTHEM BCBS | |
11688094 | Other | CAQH | |
1982615043 | Other | GRP NPI | |
1221659 | Other | CHA | |
P00372124 | Other | PALMETTO - RR MCR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 1258 (Kentucky) | Primary |
Entity Name | Jennifer R Smith |
---|---|
Entity Type | Practitioner - Clinical Social Worker |
Entity Identifiers | NPI Number: 1881115061 PECOS PAC ID: 7214263557 Enrollment ID: I20190724003952 |
Entity Name | Mountain Comprehensive Care Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760491674 PECOS PAC ID: 5294720553 Enrollment ID: O20040416000380 |
Mailing Address | Practice Location Address |
---|---|
Misty Lynn Walter, LCSW 900 Beasley St, Lexington, KY 40509-4266 Ph: (859) 254-1035 | Misty Lynn Walter, LCSW 57 Dora Lane, Greenup, KY 41144 Ph: (606) 473-7333 |
Linette Holbrook Sommers, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 57 Dora Ln, Greenup, KY 41144 Phone: 606-473-7333 Fax: 606-473-7335 | |
Sarah Stapleton, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 57 Dora Ln, Greenup, KY 41144 Phone: 866-233-1955 |