Serene Cusack, LCSW | |
900 N Orange St Ste 202, Missoula, MT 59802-2951 | |
(406) 327-3362 | |
(406) 327-3349 |
Full Name | Serene Cusack |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 900 N Orange St Ste 202, Missoula, Montana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558016733 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | BBH-LCSW-LIC-53910 (Montana) | Primary |
Entity Name | Providence Health & Services Mt |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144319138 PECOS PAC ID: 6608786306 Enrollment ID: O20031229000787 |
Mailing Address | Practice Location Address |
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Serene Cusack, LCSW Po Box 3964, Missoula, MT 59806-3964 Ph: (406) 481-4898 | Serene Cusack, LCSW 900 N Orange St Ste 202, Missoula, MT 59802-2951 Ph: (406) 327-3362 |
Jennifer Walrod, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 111 Hillcrest Loop, Missoula, MT 59803 Phone: 406-529-7776 Fax: 866-776-9460 | |
Jocelyn Nelson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 520 S 3rd St W, Missoula, MT 59801 Phone: 406-240-3732 | |
Jennifer Nichole Tuttle, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 155 N California St Apt 407, Missoula, MT 59801 Phone: 919-395-2269 | |
Mckenna Leigh Fromm, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3885 W Broadway St, Missoula, MT 59808 Phone: 406-465-8725 | |
Mark Christopher Wayne, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 401 Railroad St W, Missoula, MT 59802 Phone: 406-830-5584 | |
Ms. Kaitlyn Nina Bosshardt, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 401 Railroad St W, Missoula, MT 59802 Phone: 406-258-4789 Fax: 406-258-4732 | |
Paul K. Dokey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1235 North Ave W, Missoula, MT 59801 Phone: 406-532-9700 |