| Tamara D Crown, LCSW | |
|
517 Talons Reach Run, Berthoud, CO 80513-8701 | |
| (405) 630-0189 | |
| Not Available |
| Full Name | Tamara D Crown |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 517 Talons Reach Run, Berthoud, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588632749 | NPI | - | NPPES |
| 100640940C | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1595 (Oklahoma) | Primary |
| Entity Name | Tamara Crown, Lcsw, Acsw, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427865484 PECOS PAC ID: 1254867187 Enrollment ID: O20241216000782 |
| Mailing Address | Practice Location Address |
|---|---|
| Tamara D Crown, LCSW 517 Talons Reach Run, Berthoud, CO 80513-8701 Ph: (405) 630-0189 | Tamara D Crown, LCSW 517 Talons Reach Run, Berthoud, CO 80513-8701 Ph: (405) 630-0189 |
Miranda Hope Wichelns, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2572 Southwind Rd, Berthoud, CO 80513 Phone: 818-237-0586 | |
Mr. Brendan Stephen Bourke, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4437 Foothills Dr, Berthoud, CO 80513 Phone: 907-599-1639 | |
Mrs. Edeltraud Archinger, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 328 Massachusetts Ave, Berthoud, CO 80513 Phone: 303-847-9683 |