| Sandra T Mahoney, LCSW | |
|
1300 Andrea St, Suite 205, Bowling Green, KY 42104-3382 | |
| (270) 904-2260 | |
| (270) 781-9680 |
| Full Name | Sandra T Mahoney |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1300 Andrea St, Bowling Green, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528327038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 3876 (Kentucky) | Primary |
| Entity Name | Shc Medical Partners Of Kentucky, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417132614 PECOS PAC ID: 1153406301 Enrollment ID: O20080312000024 |
| Entity Name | Astra Behavioral Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922427517 PECOS PAC ID: 0749406577 Enrollment ID: O20140730002637 |
| Entity Name | Ppl Therapeutic Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104323252 PECOS PAC ID: 8527323989 Enrollment ID: O20180606000408 |
| Entity Name | Kentucky Post-acute Medical Services 1 Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831628783 PECOS PAC ID: 9234471426 Enrollment ID: O20190509000789 |
| Entity Name | Nv Pacs 2 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427534809 PECOS PAC ID: 0941550578 Enrollment ID: O20210804001184 |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra T Mahoney, LCSW 129 Parkway Dr, Bardstown, KY 40004-3220 Ph: (502) 233-9696 | Sandra T Mahoney, LCSW 1300 Andrea St, Suite 205, Bowling Green, KY 42104-3382 Ph: (270) 904-2260 |
Rebecca Woodrow, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1910 Lyda Ave, Bowling Green, KY 42104 Phone: 270-904-6567 Fax: 270-904-6570 | |
Jamee N. Coombes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 948 Elm St Ste 2, Bowling Green, KY 42101 Phone: 270-266-1188 | |
Alexandria Ann Carman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 661 Us 31w Byp, Bowling Green, KY 42101 Phone: 364-203-9250 | |
Tara Defoor, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1830 Destiny Ln Ste 105, Bowling Green, KY 42104 Phone: 270-599-0847 | |
Mr. David Robert Rupsch Ii, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 996 Wilkinson Trce, Suite A-4, Bowling Green, KY 42103 Phone: 270-904-1072 Fax: 270-904-1073 | |
Kelly R Foust, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2815 Russellville Rd, Bowling Green, KY 42101 Phone: 270-883-1109 | |
Carolyn Kates-glass, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1830 Destiny Ln, Suite 112, Bowling Green, KY 42104 Phone: 270-392-5531 Fax: 270-393-9011 |