| Mr Frank Paul Lukasavage, MSW,LISW, LICSW, LAD | |
|
Sun Rise Counseling Services Nm Llc, 1945 Old Us66 Unit B, Edgewood, NM 87015 | |
| (505) 835-3276 | |
| (505) 835-3276 |
| Full Name | Mr Frank Paul Lukasavage |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | Sun Rise Counseling Services Nm Llc, Edgewood, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013002302 | NPI | - | NPPES |
| 100343 | Medicaid | NM | |
| 201012186 | Other | NM | PRESBYTERIAN BEHAVIORAL H |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2081 (New Mexico) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 3831 (New Mexico) | Secondary |
| Entity Name | Sunrise Counseling Service |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669853339 PECOS PAC ID: 7113397332 Enrollment ID: O20230105000177 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Frank Paul Lukasavage, MSW,LISW, LICSW, LAD Sun Rise Counseling Services Nm Llc, Po Box 3566, Moriarty, NM 87035-3566 Ph: (505) 835-3276 | Mr Frank Paul Lukasavage, MSW,LISW, LICSW, LAD Sun Rise Counseling Services Nm Llc, 1945 Old Us66 Unit B, Edgewood, NM 87015 Ph: (505) 835-3276 |
Sherry Lynn Lebeznick Brown, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8 Casey Ct, Edgewood, NM 87015 Phone: 505-730-6735 | |
Mr. Roxroy Anthony Reid, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 25 Camino Collado, Edgewood, NM 87015 Phone: 505-710-4278 Fax: 505-286-0865 | |
Mrs. Kellie Ann Tomlin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 215 Cowboy Way, Edgewood, NM 87015 Phone: 505-926-1575 Fax: 505-629-0521 | |
Molly J Mceachen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 234 Entranosa Rd, Edgewood, NM 87015 Phone: 505-226-5311 | |
Amy Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 215 Cowboy Way, Edgewood, NM 87015 Phone: 505-508-7071 | |
Jennifer Nelson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 215 Cowboy Way, Edgewood, NM 87015 Phone: 505-464-7213 |