| Tara N Muse, LCSW | |
|
404 Steve Dr, Russell Springs, KY 42642-4622 | |
| (270) 866-3161 | |
| (270) 866-3163 |
| Full Name | Tara N Muse |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 404 Steve Dr, Russell Springs, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588297717 | NPI | - | NPPES |
| 14624186 | Other | CAQH | |
| 7100650460 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 254657 (Kentucky) | Primary |
| Entity Name | Cumberland Family Medical Center, Inc.. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306873500 PECOS PAC ID: 6305947789 Enrollment ID: O20120221000433 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara N Muse, LCSW Po Box 1080, Burkesville, KY 42717-1080 Ph: (270) 858-6655 | Tara N Muse, LCSW 404 Steve Dr, Russell Springs, KY 42642-4622 Ph: (270) 866-3161 |
Alexandria F Lawson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 404 Steve Dr, Russell Springs, KY 42642 Phone: 270-866-3161 Fax: 270-866-3163 | |
Jana K Bowmer, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 404 Steve Dr, Russell Springs, KY 42642 Phone: 270-866-3161 Fax: 270-866-3163 | |
Dewey Rains, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 404 Steve Dr Ste 102, Russell Springs, KY 42642 Phone: 606-866-3161 Fax: 606-866-3163 | |
Loretta F Coppage, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 404 Steve Dr, Russell Springs, KY 42642 Phone: 270-866-3161 Fax: 270-866-3163 | |
Kelsey Harris, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5592 Highway 379, Russell Springs, KY 42642 Phone: 270-566-5004 |