| Shelley Marie Coughlin, | |
|
1000 Lincoln St, Emporia, KS 66801-2449 | |
| (620) 343-2211 | |
| (620) 342-1021 |
| Full Name | Shelley Marie Coughlin |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 10 Years |
| Location | 1000 Lincoln St, Emporia, Kansas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215588124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 10285 (Kansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Psychiatric And Counseling Associates Llc | 6507881422 | 41 |
| Entity Name | Psychiatric and Counseling Associates LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114096385 PECOS PAC ID: 6507881422 Enrollment ID: O20051011000074 |
| Entity Name | Inspire Behavioral Health Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114656584 PECOS PAC ID: 3577924208 Enrollment ID: O20241112003755 |
| Mailing Address | Practice Location Address |
|---|---|
| Shelley Marie Coughlin, 1000 Lincoln St, Emporia, KS 66801-2449 Ph: Not Available | Shelley Marie Coughlin, 1000 Lincoln St, Emporia, KS 66801-2449 Ph: (620) 343-2211 |
Lanis Dieker, LSCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 420 W 15th Ave, Emporia, KS 66801 Phone: 620-342-4864 |
Ms. Cynthia K Maxwell, LSCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9 W 5th Ave, Emporia, KS 66801 Phone: 620-481-6036 |
Viridiana Reyes Coria, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1000 Lincoln St, Emporia, KS 66801 Phone: 620-343-2211 Fax: 620-343-2211 |
Melissa J Bane-shelton, LSCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1201 W 12th Ave, Emporia, KS 66801 Phone: 620-343-6800 Fax: 620-341-7821 |
Ms. Melanie S Pheatt, LSCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1000 Lincoln St, Emporia, KS 66801 Phone: 620-343-2211 Fax: 620-342-1021 |
Mrs. Michelle R Waltman, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 618 Commercial St, Emporia, KS 66801 Phone: 620-343-6111 Fax: 913-287-5024 |
Ms. Patty F Kinnett, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1000 Lincoln St, Emporia, KS 66801 Phone: 620-343-2211 |