| Mrs Sandra Jean Mathes, LCSW | |
|
210 N Shamrock Blvd, Russellville, AR 72802 | |
| (501) 303-3105 | |
| Not Available |
| Full Name | Mrs Sandra Jean Mathes |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 49 Years |
| Location | 210 N Shamrock Blvd, Russellville, Arkansas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154570604 | NPI | - | NPPES |
| 116399726 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 169-C (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Youth Home Inc | 4789806431 | 5 |
| Entity Name | Youth Home Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942266879 PECOS PAC ID: 4789806431 Enrollment ID: O20141112001724 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Sandra Jean Mathes, LCSW 210 N Shamrock Blvd, Russellville, AR 72802-9658 Ph: () - | Mrs Sandra Jean Mathes, LCSW 210 N Shamrock Blvd, Russellville, AR 72802 Ph: (501) 303-3105 |
Tessa Riffell, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 110 Skyline Drive, Russellville, AR 72801 Phone: 479-968-1298 Fax: 479-968-6053 | |
Audra Renae Hatchett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 210 N Shamrock Blvd, Russellville, AR 72802 Phone: 501-315-3344 | |
Danielle Beth Beck, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 110 Skyline Dr, Russellville, AR 72801 Phone: 479-967-5570 Fax: 479-890-5364 | |
Tracy L Baxley Tullos, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3106 W 2nd Ct, Suite 1, Russellville, AR 72801 Phone: 479-880-5100 Fax: 479-880-5297 | |
Mrs. Florence R Duffee, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2504 W Main St Ste C, Russellville, AR 72801 Phone: 479-967-2024 Fax: 479-967-9203 | |
Jennifer Lee Goodman, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 110 Skyline Dr, Russellville, AR 72801 Phone: 479-967-5570 Fax: 479-890-5364 |