| William Mead, | |
|
300 Colorado Ave, Pueblo, CO 81004-2006 | |
| (195) 438-7117 | |
| (719) 543-0171 |
| Full Name | William Mead |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 300 Colorado Ave, Pueblo, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154734424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 00991009 (Colorado) | Primary |
| Entity Name | Pueblo Community Health Center Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770529950 PECOS PAC ID: 4284543802 Enrollment ID: O20031104000171 |
| Entity Name | Sondermind Provider Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210113002826 |
| Mailing Address | Practice Location Address |
|---|---|
| William Mead, 110 E Routt Ave, Pueblo, CO 81004-2117 Ph: (719) 543-8711 | William Mead, 300 Colorado Ave, Pueblo, CO 81004-2006 Ph: (195) 438-7117 |
James Arthur Hull, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1002 Cedar St, Pueblo, CO 81004 Phone: 719-545-0578 | |
Jeremy Vasquez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 29 Lehigh Ave, Pueblo, CO 81005 Phone: 719-549-7843 | |
Ms. Mary Alice Mehess, LCSW, LAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 20 Tamar Ct, Pueblo, CO 81005 Phone: 719-568-2531 | |
Desiree Butcher, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1301 E 7th St, Pueblo, CO 81001 Phone: 719-543-8711 Fax: 719-543-0171 | |
Karen Marie Irick, LCSW, LAC Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1530 W 17th St, Pueblo, CO 81003 Phone: 719-544-3150 | |
Justin M Gay, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4776 Eagleridge Cir, Pueblo, CO 81008 Phone: 719-584-5183 Fax: 719-584-5496 | |
Prudencio Cosyleon, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 417 W 13th St, Pueblo, CO 81003 Phone: 719-544-0877 Fax: 719-544-2033 |