Amy Marie Selvage, | |
360 E Enon Rd, Yellow Springs, OH 45387-1415 | |
(937) 767-1303 | |
Not Available |
Full Name | Amy Marie Selvage |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 360 E Enon Rd, Yellow Springs, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1104334515 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | I.1800775 (Ohio) | Primary |
Entity Name | Tcn Behavioral Health Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336118256 PECOS PAC ID: 8224011135 Enrollment ID: O20040611000055 |
Mailing Address | Practice Location Address |
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Amy Marie Selvage, 606 State Route 72 N, Jamestown, OH 45335-9736 Ph: () - | Amy Marie Selvage, 360 E Enon Rd, Yellow Springs, OH 45387-1415 Ph: (937) 767-1303 |
Laura D. Taylor, MSW, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 360 E Enon Rd, Yellow Springs, OH 45387 Phone: 937-767-1303 Fax: 937-767-1025 | |
Mrs. Anya Senetra, MSW, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 360 E Enon Rd, Yellow Springs, OH 45387 Phone: 937-767-1303 Fax: 937-767-1025 | |
Jaime Hilling, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 360 E Enon Rd, Yellow Springs, OH 45387 Phone: 937-767-1303 | |
Casey Aldrich, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 360 E Enon Rd, Yellow Springs, OH 45387 Phone: 937-767-1303 Fax: 937-767-1025 | |
Tracy Sebastian Evans, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 416 Xenia Ave, Yellow Springs, OH 45387 Phone: 937-767-9171 Fax: 937-767-9175 | |
Chris Knotts, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 360 E Enon Rd, Yellow Springs, OH 45387 Phone: 937-767-1303 |