| Stacy June Wayland, LICSW | |
|
4628 Main Street, Newbury, VT 05051-9172 | |
| (802) 222-3000 | |
| Not Available |
| Full Name | Stacy June Wayland |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 7 Years |
| Location | 4628 Main Street, Newbury, Vermont |
| 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 |
|---|---|---|---|
| 1225807258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 3184 (New Hampshire) | Secondary |
| 1041C0700X | Social Worker - Clinical | 089.0135588 (Vermont) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Little Rivers Health Care, Inc. | 8224031497 | 25 |
| Entity Name | Little Rivers Health Care, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033163555 PECOS PAC ID: 8224031497 Enrollment ID: O20061003000417 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy June Wayland, LICSW 4628 Main Street, Po Box 8, Newbury, VT 05051-9172 Ph: (802) 222-3000 | Stacy June Wayland, LICSW 4628 Main Street, Newbury, VT 05051-9172 Ph: (802) 222-3000 |
Susan Hanewald, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1341 Tucker Mountain Rd, Newbury, VT 05051 Phone: 802-356-6565 | |
Allison Jean Line-andrews, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4628 Main St., Newbury, VT 05051 Phone: 802-274-5120 | |
Mrs. Renee Lynne Schulze, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4628 Main Street, Newbury, VT 05051 Phone: 802-299-7654 Fax: 802-866-3012 |