| Susan Louise Stark, LCSW | |
|
1001 Rio Vista Dr, Fallon, NV 89406-5463 | |
| (775) 213-3274 | |
| Not Available |
| Full Name | Susan Louise Stark |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 10 Years |
| Location | 1001 Rio Vista Dr, Fallon, Nevada |
| 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 |
|---|---|---|---|
| 1114418886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 8485-C (Nevada) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fallon Tribal Health Center | 0042399578 | 9 |
| Entity Name | Fallon Tribal Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023057478 PECOS PAC ID: 0042399578 Enrollment ID: O20080508000316 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Louise Stark, LCSW 1001 Rio Vista Dr, Fallon, NV 89406-5463 Ph: (775) 213-3274 | Susan Louise Stark, LCSW 1001 Rio Vista Dr, Fallon, NV 89406-5463 Ph: (775) 213-3274 |
Daniel J. Jardine, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1490 Grimes St, Fallon, NV 89406 Phone: 775-423-1412 | |
Mary Clement, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1020 New River Pkwy, Fallon, NV 89406 Phone: 775-867-7254 | |
Jessica Homer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 20 N Ada St, Fallon, NV 89406 Phone: 775-391-6088 | |
Kay D Riehm, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 270 S Maine St # 8, Fallon, NV 89406 Phone: 775-423-5381 Fax: 775-423-4930 | |
Ms. Carol Juul, LCSW,ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 158 S Taylor St, Fallon, NV 89406 Phone: 775-867-4123 Fax: 775-867-4914 | |
Ms. Sheri Suzanne Alexandar, LSCW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1490 Grimes St, Fallon, NV 89406 Phone: 775-423-1412 |