| Lana Dicken Lcsw & Associates Llc | |
|
105 W Stanton St Plains MT 59859-7721 | |
| (406) 529-4179 | |
| Not Available |
| Full Name | Lana Dicken Lcsw & Associates Llc |
|---|---|
| Speciality | Social Worker |
| Location | 105 W Stanton St, Plains, Montana |
| Authorized Official Name and Position | Lana Dicken (OWNER) |
| Authorized Official Contact | 4065294179 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lana Dicken Lcsw & Associates Llc 105 W Stanton St Plains MT 59859-7721 Ph: (406) 529-4179 | Lana Dicken Lcsw & Associates Llc 105 W Stanton St Plains MT 59859-7721 Ph: (406) 529-4179 |
| NPI Number | 1083361943 |
|---|---|
| Provider Enumeration Date | 03/09/2022 |
| Last Update Date | 01/23/2023 |
| Certification Date | 01/23/2023 |
| Medicare PECOS PAC ID | 5496137606 |
|---|---|
| Medicare Enrollment ID | O20220804002688 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083361943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Lana Dicken |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700395043 PECOS PAC ID: 1355769092 Enrollment ID: I20200914000653 |
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