| Sherry Lynn Lebeznick Brown, MSW | |
|
6501 4th St Nw Ste H, Los Ranchos, NM 87107-5800 | |
| (505) 730-6735 | |
| Not Available |
| Full Name | Sherry Lynn Lebeznick Brown |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 6501 4th St Nw Ste H, Los Ranchos, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154504777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | C-07730 (New Mexico) | Primary |
| Entity Name | Wild Magnolia Wellness |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255820205 PECOS PAC ID: 8729492491 Enrollment ID: O20210121001173 |
| Entity Name | A Shared Path Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689111841 PECOS PAC ID: 4587005491 Enrollment ID: O20240509001996 |
| Mailing Address | Practice Location Address |
|---|---|
| Sherry Lynn Lebeznick Brown, MSW 6501 4th St Nw Ste H, Los Ranchos, NM 87107-5800 Ph: (505) 730-6735 | Sherry Lynn Lebeznick Brown, MSW 6501 4th St Nw Ste H, Los Ranchos, NM 87107-5800 Ph: (505) 730-6735 |
Andrea Busich, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6501 4th St Nw, Los Ranchos, NM 87107 Phone: 505-433-7561 | |
Jodie L Hart, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 608 Bledsoe Rd Nw, Los Ranchos, NM 87107 Phone: 505-450-8007 | |
Ms. Christina Simpson, Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 6501 4th St Nw, Los Ranchos, NM 87107 Phone: 505-433-7561 | |
Mallory Hemerlein, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6501 4th St Nw Ste E2, Los Ranchos, NM 87107 Phone: 505-456-0619 | |
Nina Tedone, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6501 4th St Nw Ste H, Los Ranchos, NM 87107 Phone: 505-433-7561 | |
Laura Ross Wood, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5720 El Prado Rd Nw, Los Ranchos, NM 87107 Phone: 505-699-5885 |