Andrea J Miller, MSW LCSW | |
410 Mulberry St, Evansville, IN 47713-1231 | |
(812) 423-7791 | |
(812) 422-7558 |
Full Name | Andrea J Miller |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 410 Mulberry St, Evansville, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255492344 | NPI | - | NPPES |
000000328725 | Other | IN | ANTHEM |
100240880 | Medicaid | IN | |
11490557 | Other | IN | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 3400004809A (Indiana) | Primary |
Entity Name | Midwest Behavioral Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427362201 PECOS PAC ID: 4587834874 Enrollment ID: O20110824000118 |
Mailing Address | Practice Location Address |
---|---|
Andrea J Miller, MSW LCSW 415 Mulberry Street, Evansville, IN 47713-1230 Ph: (812) 423-7791 | Andrea J Miller, MSW LCSW 410 Mulberry St, Evansville, IN 47713-1231 Ph: (812) 423-7791 |
Laura M Faulkner, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4001 John St, Evansville, IN 47714 Phone: 812-473-3144 Fax: 812-422-7558 | |
Brittany Bailey, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4001 John St, Evansville, IN 47714 Phone: 813-473-3144 | |
Madelynn R Wiethop, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7144 E Virginia St Ste C, Evansville, IN 47715 Phone: 812-479-1242 | |
Cody Fenwick, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1133 Lincoln Ave, Evansville, IN 47714 Phone: 812-491-2615 | |
Teresa A Mercer, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7200 E Indiana St, Evansville, IN 47715 Phone: 812-476-7200 Fax: 812-471-4514 | |
Ramona L. Wilzbacher, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 60 S. Stockwell Road, Evansville, IN 47714 Phone: 812-476-5437 Fax: 812-422-7558 | |
Ashley Williams, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1133 Lincoln Ave, Evansville, IN 47714 Phone: 812-491-2615 |