| Sara C Burnside, PCSW | |
|
389 Adams St, Afton, WY 83110 | |
| (307) 885-9883 | |
| Not Available |
| Full Name | Sara C Burnside |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 389 Adams St, Afton, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023468634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | PCSW-673 (Wyoming) | Primary |
| Entity Name | North Lincoln County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730132523 PECOS PAC ID: 4789580218 Enrollment ID: O20031208000415 |
| Entity Name | North Lincoln County Hospital District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1255376406 PECOS PAC ID: 4789580218 Enrollment ID: O20101103000284 |
| Entity Name | High Country Behavioral Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457472748 PECOS PAC ID: 0648454587 Enrollment ID: O20110418000512 |
| Mailing Address | Practice Location Address |
|---|---|
| Sara C Burnside, PCSW 901 Adams St, Afton, WY 83110-9621 Ph: (307) 885-9883 | Sara C Burnside, PCSW 389 Adams St, Afton, WY 83110 Ph: (307) 885-9883 |
Reed Lesuma, PCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 389 Adams St., Afton, WY 83110 Phone: 307-885-9883 Fax: 307-885-5206 | |
Lorry Stufflebeam, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 70 3rd Ave, Afton, WY 83110 Phone: 307-522-1541 Fax: 307-459-6800 | |
Barbara Merritt, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 389 Adams St, Afton, WY 83110 Phone: 307-885-9883 Fax: 307-885-5206 |