Susan C Merrill, LCSW | |
631 Birch St Unit D, Windsor, CO 80550-5053 | |
(970) 232-1999 | |
Not Available |
Full Name | Susan C Merrill |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 631 Birch St Unit D, Windsor, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538738653 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | CSW09926992 (Colorado) | Primary |
Entity Name | Sondermind Provider Network Llc |
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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 |
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Susan C Merrill, LCSW 140 Bayside Cir, Windsor, CO 80550-6173 Ph: () - | Susan C Merrill, LCSW 631 Birch St Unit D, Windsor, CO 80550-5053 Ph: (970) 232-1999 |
Danielle K Matra, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1170 W Ash St Ste 100, Windsor, CO 80550 Phone: 970-347-2120 Fax: 970-300-3127 | |
Mrs. Jacque Ann Ristau, M.S. Counselor Medicare: Medicare Enrolled Practice Location: 1200 W Ash St, Ste D, Windsor, CO 80550 Phone: 970-222-7249 Fax: 970-267-0830 | |
Sheryl Lynn Schwartz, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1204 W Ash St Unit A, Windsor, CO 80550 Phone: 970-316-3406 | |
Brian Collison, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1204 W Ash St Unit A, Windsor, CO 80550 Phone: 970-310-3406 | |
Ms. Belinda Jellison, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 628 Main St, Windsor, CO 80550 Phone: 334-475-6690 | |
Stacy L Weed, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8457 Cromwell Dr Unit 5, Windsor, CO 80528 Phone: 970-397-9567 | |
Rick A. Combs, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1220 W Ash St Unit D, Windsor, CO 80550 Phone: 970-988-7641 |