| Riversage Family Counseling | |
|
100 Jenkins Ranch Rd Unit E1 Durango CO 81301-9473 | |
| (970) 764-4049 | |
| Not Available |
| Full Name | Riversage Family Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 100 Jenkins Ranch Rd Unit E1, Durango, Colorado |
| Authorized Official Name and Position | Lillian Ramey (VICE-PRESIDENT / DIRECTOR) |
| Authorized Official Contact | 9707494491 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Riversage Family Counseling 137 La Plata View Dr Durango CO 81303-8155 Ph: (970) 749-4491 | Riversage Family Counseling 100 Jenkins Ranch Rd Unit E1 Durango CO 81301-9473 Ph: (970) 764-4049 |
| NPI Number | 1336458538 |
|---|---|
| Provider Enumeration Date | 10/05/2010 |
| Last Update Date | 05/11/2022 |
| Certification Date | 05/11/2022 |
| Medicare PECOS PAC ID | 0840483384 |
|---|---|
| Medicare Enrollment ID | O20101018000224 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336458538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 992647 (Colorado) | Primary |
| Provider Name | Lillian S Ramey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023045036 PECOS PAC ID: 5698785590 Enrollment ID: I20060421000144 |
| Provider Name | Sarah K Alsgaard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285154104 PECOS PAC ID: 4385918143 Enrollment ID: I20170919000602 |
| Provider Name | Elizabeth Forrest Shackford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609526441 PECOS PAC ID: 7911385984 Enrollment ID: I20220602002114 |
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