| Mrs Monique Desiree Vidal, LCSW | |
|
2001 Dewar Dr Ste 270, Rock Springs, WY 82901-5785 | |
| (605) 484-5258 | |
| Not Available |
| Full Name | Mrs Monique Desiree Vidal |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 2001 Dewar Dr Ste 270, Rock Springs, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447580436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | PCSW-459 (Wyoming) | Secondary |
| 1041C0700X | Social Worker - Clinical | 818 (Wyoming) | Primary |
| Entity Name | Gill Counseling Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437801982 PECOS PAC ID: 4082087283 Enrollment ID: O20230309002025 |
| Entity Name | 7220 Counseling Coalition Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578349593 PECOS PAC ID: 0749637577 Enrollment ID: O20231115002747 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Monique Desiree Vidal, LCSW 3448 Dover Ave, Rock Springs, WY 82901-5776 Ph: (605) 484-5258 | Mrs Monique Desiree Vidal, LCSW 2001 Dewar Dr Ste 270, Rock Springs, WY 82901-5785 Ph: (605) 484-5258 |
Deborah Klug, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2300 Foothill Blvd, Rock Springs, WY 82901 Phone: 307-352-6677 | |
Jamie Elyse Busenbark, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2300 Foothill Blvd, Rock Springs, WY 82901 Phone: 307-352-6677 | |
Carrie Todd, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 538 Pilot Butte Ave Ste 5, Rock Springs, WY 82901 Phone: 307-228-5950 | |
Jessica Nielson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1124 College Dr, Rock Springs, WY 82901 Phone: 307-352-6677 | |
Mrs. Lynette Hughes, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1124 College Dr, Rock Springs, WY 82901 Phone: 307-352-6677 Fax: 307-352-6614 | |
Grace Vigil, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2300 Foothill Blvd, Rock Springs, WY 82901 Phone: 307-352-6677 Fax: 307-352-6614 | |
Madelyn Malan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2300 Foothill Blvd, Rock Springs, WY 82901 Phone: 307-352-6677 Fax: 307-352-6614 |