| Jan Schaad Lcsw Pc | |
|
2622 Pioneer Ave Cheyenne WY 82001-3024 | |
| (307) 630-4688 | |
| (307) 637-2899 |
| Full Name | Jan Schaad Lcsw Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2622 Pioneer Ave, Cheyenne, Wyoming |
| Authorized Official Name and Position | Janice A Schaad (PRESIDENT) |
| Authorized Official Contact | 3076304688 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jan Schaad Lcsw Pc Po Box 326 Cheyenne WY 82003-0326 Ph: (307) 763-0468 | Jan Schaad Lcsw Pc 2622 Pioneer Ave Cheyenne WY 82001-3024 Ph: (307) 630-4688 |
| NPI Number | 1306896402 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 04/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306896402 | NPI | - | NPPES |
| W21033 | Other | WY | MEDICARE PROVIDER TRANSACTION NUMBER |
| 123007700 | Medicaid | WY | |
| P00368425 | Other | WY | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 410 (Wyoming) | Primary |
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