Andrea Mallory, LISW | |
7630 Bethany Rd, Liberty Township, OH 45044-9583 | |
(513) 588-7700 | |
(513) 759-2024 |
Full Name | Andrea Mallory |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 7630 Bethany Rd, Liberty Township, 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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1821585290 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | I.1901963 (Ohio) | Primary |
104100000X | Social Worker | I.1901963 (Ohio) | Secondary |
Entity Name | Children's Hospital Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609915784 PECOS PAC ID: 8426955733 Enrollment ID: O20031216000035 |
Mailing Address | Practice Location Address |
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Andrea Mallory, LISW 401 E Mcmillan St, Cincinnati, OH 45206-1922 Ph: (513) 221-3350 | Andrea Mallory, LISW 7630 Bethany Rd, Liberty Township, OH 45044-9583 Ph: (513) 588-7700 |
Whitney Ruble, LSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7 Hansbrinker Ct, Liberty Township, OH 45044 Phone: 513-868-7700 | |
Mrs. Heather Ann Connor, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 7777 Yankee Rd, Liberty Township, OH 45044 Phone: 513-803-9600 Fax: 513-636-2300 | |
Terri Lynn Telesz, LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7777 Yankee Road, Ml 16030, Liberty Township, OH 45044 Phone: 513-803-9307 Fax: 513-803-9569 | |
Lora Danielle Ortega, MSW, LISW-S Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6939 Cox Rd Ste 360, Liberty Township, OH 45069 Phone: 513-564-6800 Fax: 513-564-6815 | |
Jennifer Saporito, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7185 Liberty Centre Dr, Suite D, Liberty Township, OH 45069 Phone: 513-504-9310 Fax: 513-847-6365 |