Amanda Marie Love, | |
12557 Ravenwood Dr, Chardon, OH 44024-9009 | |
(440) 285-3568 | |
(440) 285-4552 |
Full Name | Amanda Marie Love |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 12557 Ravenwood Dr, Chardon, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144886706 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | S.1903618 (Ohio) | Primary |
Entity Name | Ravenwood Mental Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730356296 PECOS PAC ID: 6901813922 Enrollment ID: O20060316000394 |
Mailing Address | Practice Location Address |
---|---|
Amanda Marie Love, 12557 Ravenwood Dr, Chardon, OH 44024-9009 Ph: (440) 285-3568 | Amanda Marie Love, 12557 Ravenwood Dr, Chardon, OH 44024-9009 Ph: (440) 285-3568 |
Lauren Anne Plott, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 13300 Aquilla Rd, Chardon, OH 44024 Phone: 440-279-2096 | |
Ms. Jennifer G Lacortiglia, LISW S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11575 Lower Chelsea Dr, Chardon, OH 44024 Phone: 440-212-4278 | |
Latia E Phillips-bey, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 695 South St Ste 6, Chardon, OH 44024 Phone: 216-970-7972 | |
Rebecca Petrey, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 695 South St Ste 6, Chardon, OH 44024 Phone: 440-286-1553 | |
Miss Lyle J. Morris, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 12557 Ravenwood Dr, Chardon, OH 44024 Phone: 440-285-3568 | |
Brooke-marie Noscal, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 695 South St Ste 6, Chardon, OH 44024 Phone: 440-286-1553 |