| Susan Goggins, LCSW | |
|
1909 Commerce Ave, Cullman, AL 35055-6151 | |
| (256) 734-4688 | |
| (256) 736-5638 |
| Full Name | Susan Goggins |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1909 Commerce Ave, Cullman, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780628651 | NPI | - | NPPES |
| 51505176 | Other | AL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0709G (Alabama) | Primary |
| Entity Name | Restoration Counseling Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366806325 PECOS PAC ID: 2466861901 Enrollment ID: O20210512002692 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Goggins, LCSW 580 Powell Chapel Rd, Falkville, AL 35622-6219 Ph: (256) 739-9354 | Susan Goggins, LCSW 1909 Commerce Ave, Cullman, AL 35055-6151 Ph: (256) 734-4688 |
Mr. James Lyle Hickman, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1909 Commerce Ave, Cullman, AL 35055 Phone: 256-734-4688 | |
Darcel King, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1909 Commerce Ave, Cullman, AL 35055 Phone: 256-734-4688 | |
Bryan Ray Hill, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 213 Main Ave Nw, Cullman, AL 35055 Phone: 205-237-2376 | |
Katherine Kirkpatrick List, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1910 Cherokee Ave Sw Ste A, Cullman, AL 35055 Phone: 256-775-8824 Fax: 256-775-8830 | |
Dana Wallace, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1909 Commerce Ave, Cullman, AL 35055 Phone: 256-734-4688 | |
Gloria P Lott, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1909 Commerce Ave, Cullman, AL 35055 Phone: 256-734-4688 | |
Frances D Mckoy, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1909 Commerce Ave, Cullman, AL 35055 Phone: 256-734-4688 Fax: 256-736-5638 |