| Char Peppenger, Lcsw Pllc | |
|
2935 Stockyard Rd Ste K4 Missoula MT 59808-1567 | |
| (406) 370-3839 | |
| (406) 549-0282 |
| Full Name | Char Peppenger, Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 2935 Stockyard Rd Ste K4, Missoula, Montana |
| Authorized Official Name and Position | Char Ann Peppenger (OWNER) |
| Authorized Official Contact | 4063703839 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Char Peppenger, Lcsw Pllc 2935 Stockyard Rd Ste K4 Missoula MT 59808-1567 Ph: (406) 370-3839 | Char Peppenger, Lcsw Pllc 2935 Stockyard Rd Ste K4 Missoula MT 59808-1567 Ph: (406) 370-3839 |
| NPI Number | 1144783663 |
|---|---|
| Provider Enumeration Date | 04/11/2019 |
| Last Update Date | 04/11/2019 |
| Medicare PECOS PAC ID | 7517299084 |
|---|---|
| Medicare Enrollment ID | O20191101002295 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144783663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Charleen A Peppenger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386932515 PECOS PAC ID: 1355634213 Enrollment ID: I20160729001183 |
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