Anna Pierce Frederick, MSSW, LCSW | |
1200 Atwater Dr Ste 130, Malvern, PA 19355-8782 | |
(610) 646-1851 | |
(484) 355-5181 |
Full Name | Anna Pierce Frederick |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1200 Atwater Dr Ste 130, Malvern, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336250612 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CW015495 (Pennsylvania) | Primary |
Entity Name | Ellie Main Line Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528752037 PECOS PAC ID: 0345689022 Enrollment ID: O20240415000360 |
Mailing Address | Practice Location Address |
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Anna Pierce Frederick, MSSW, LCSW 326 Woodmere Way, Phoenixville, PA 19460-2102 Ph: (484) 319-5407 | Anna Pierce Frederick, MSSW, LCSW 1200 Atwater Dr Ste 130, Malvern, PA 19355-8782 Ph: (610) 646-1851 |
Melanie Gonsecki Coupland, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1051 Catalpa Dr, Malvern, PA 19355 Phone: 302-562-2107 | |
Therese M. Cavanaugh, CSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5 Mystic Ln, Malvern, PA 19355 Phone: 610-296-5070 Fax: 610-296-5070 | |
Alexis True Wilburn, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 18 Mystic Ln, Malvern, PA 19355 Phone: 610-716-3979 | |
Rose D Montgomery, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1200 Atwater Dr Ste 130, Malvern, PA 19355 Phone: 610-646-1851 Fax: 484-355-5181 | |
Jill Crawford, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 617b Swedesford Rd, Swedesford Corporate Center, Malvern, PA 19355 Phone: 610-564-6835 | |
Mrs. Caroline Fenkel, MSS, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 Phoenixville Pike, Malvern, PA 19355 Phone: 610-608-8838 | |
Amber Klimovitz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2045 Union Hill Rd, Malvern, PA 19355 Phone: 610-716-4983 |