| Timothy Cosgrove, | |
|
1601 W 4th St, Coffeyville, KS 67337-3333 | |
| (620) 251-8180 | |
| Not Available |
| Full Name | Timothy Cosgrove |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 1601 W 4th St, Coffeyville, Kansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194923201 | NPI | - | NPPES |
| 6919005 | Other | KS | MEDICARE PTAN |
| 200443500A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 4007 (Kansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Cosgrove, 1601 W 4th St, Coffeyville, KS 67337-3333 Ph: () - | Timothy Cosgrove, 1601 W 4th St, Coffeyville, KS 67337-3333 Ph: (620) 251-8180 |
Mr. Joseph Maylen Miller, MSW DCSW LSCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1411 W 4th St, Family Consultation Services Ste C, Coffeyville, KS 67337 Phone: 620-251-6967 Fax: 620-251-6967 | |
Evelyn V Smith, LSCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 801 W 8th St, Coffeyville, KS 67337 Phone: 620-251-4300 Fax: 620-251-4979 | |
Mrs. Amy D. Ford, LSCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1601 W 4th St, Coffeyville, KS 67337 Phone: 620-252-8180 Fax: 620-332-1940 |