| Office Of Randy Guinard, Lcsw Llc | |
|
703 California Avenue Libby MT 59923 | |
| (406) 293-3993 | |
| (406) 293-3990 |
| Full Name | Office Of Randy Guinard, Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 703 California Avenue, Libby, Montana |
| Authorized Official Name and Position | Sindy Filler (PRACTICE MANAGER) |
| Authorized Official Contact | 4062933993 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Office Of Randy Guinard, Lcsw Llc 703 California Avenue Libby MT 59923 Ph: (406) 293-3993 | Office Of Randy Guinard, Lcsw Llc 703 California Avenue Libby MT 59923 Ph: (406) 293-3993 |
| NPI Number | 1518504596 |
|---|---|
| Provider Enumeration Date | 12/09/2019 |
| Last Update Date | 01/16/2020 |
| Certification Date | 01/16/2020 |
| Medicare PECOS PAC ID | 1850726597 |
|---|---|
| Medicare Enrollment ID | O20200127001697 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518504596 | NPI | - | NPPES |
| 7141734 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Randy L Guinard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629245980 PECOS PAC ID: 3173794088 Enrollment ID: I20110927000155 |
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