| Melissa Dearmont, MSW,LICSW, LIMHP, CM | |
|
407 S Clark St, Bassett, NE 68714-5062 | |
| (402) 684-2908 | |
| (402) 913-3454 |
| Full Name | Melissa Dearmont |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 25 Years |
| Location | 407 S Clark St, Bassett, Nebraska |
| 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 |
|---|---|---|---|
| 1922057868 | NPI | - | NPPES |
| 100253381-00 | Medicaid | NE | |
| 85517 | Other | NE | BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 257 (Nebraska) | Secondary |
| 104100000X | Social Worker | 1162 (Nebraska) | Secondary |
| 101YM0800X | Counselor - Mental Health | 2891 (Nebraska) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Midwest Country Clinic Llc | 2466768809 | 4 |
| Entity Name | Midwest Country Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417155433 PECOS PAC ID: 2466768809 Enrollment ID: O20150901000445 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Dearmont, MSW,LICSW, LIMHP, CM 84772 Filly Lane, Rose, NE 68714-6128 Ph: (402) 760-3002 | Melissa Dearmont, MSW,LICSW, LIMHP, CM 407 S Clark St, Bassett, NE 68714-5062 Ph: (402) 684-2908 |
Kathy J Carr, Counselor Medicare: Not Enrolled in Medicare Practice Location: Po Box 26, Bassett, NE 68714 Phone: 402-684-2908 Fax: 402-913-3454 | |
Amber Lynn Keefe, LIMHP Counselor Medicare: Accepting Medicare Assignments Practice Location: 407 S Clark St, Bassett, NE 68714 Phone: 402-684-2908 | |
Michael A Woodraska, PLMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: Po Box 26, Bassett, NE 68714 Phone: 402-684-2908 Fax: 402-913-3454 | |
Lynn D Cooper, PLMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 407 S Clark, Bassett, NE 68714 Phone: 402-684-2908 Fax: 402-913-3454 | |
Jennifer Einspahr, Counselor Medicare: Not Enrolled in Medicare Practice Location: 407 S Clark St, Bassett, NE 68714 Phone: 402-684-2908 |