| Mrs Tiffany Suzanne Martin, LCSW | |
|
505 S Kentucky Ave, Suite D, Sedalia, MO 65301-4254 | |
| (660) 232-1107 | |
| Not Available |
| Full Name | Mrs Tiffany Suzanne Martin |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 505 S Kentucky Ave, Sedalia, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457686990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2011024378 (Missouri) | Primary |
| Entity Name | Deer Oaks Mental Health Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134175763 PECOS PAC ID: 2264337013 Enrollment ID: O20040813000106 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Tiffany Suzanne Martin, LCSW 505 S Kentucky Ave, Suite D, Sedalia, MO 65301-4254 Ph: (660) 232-1107 | Mrs Tiffany Suzanne Martin, LCSW 505 S Kentucky Ave, Suite D, Sedalia, MO 65301-4254 Ph: (660) 232-1107 |
Ms. Candice Wagenknecht, PLCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 S Limit Ave, Sedalia, MO 65301 Phone: 660-826-7909 Fax: 660-826-6737 | |
Blaire Riley, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 821 Westwood Dr, Sedalia, MO 65301 Phone: 660-826-4774 Fax: 888-979-8868 | |
Diane Elizabeth Ciafullo, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 121 E Broadway Blvd, Sedalia, MO 65301 Phone: 660-826-2380 Fax: 660-827-6277 | |
Christa E. Miller, LMSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1210 S Arlington Ave, Sedalia, MO 65301 Phone: 660-221-5823 | |
Jessica Arnold, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 821 Westwood Dr, Sedalia, MO 65301 Phone: 660-826-4774 | |
Molly Boston, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 305 W Main St, Sedalia, MO 65301 Phone: 660-310-0909 Fax: 888-979-8868 | |
Ms. Tara Michelle Parkhurst, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 121 E Broadway Blvd Ste 107, Sedalia, MO 65301 Phone: 573-268-4419 |