Antoinette M Thacker, LISW-S | |
1910 Fairgrove Ave Ste E, Hamilton, OH 45011-1930 | |
(513) 795-7557 | |
(513) 737-4603 |
Full Name | Antoinette M Thacker |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 17 Years |
Location | 1910 Fairgrove Ave Ste E, Hamilton, Ohio |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750722286 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | I.1000009-SUPV (Ohio) | Secondary |
104100000X | Social Worker | I.1000009-SUPV (Ohio) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Modern Psychiatry And Wellness Llc | 6608029962 | 11 |
Entity Name | Modern Psychiatry And Wellness Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225260888 PECOS PAC ID: 6608029962 Enrollment ID: O20130117000157 |
Mailing Address | Practice Location Address |
---|---|
Antoinette M Thacker, LISW-S 8778 Cottonwood Dr, Cincinnati, OH 45231-4706 Ph: (513) 305-2218 | Antoinette M Thacker, LISW-S 1910 Fairgrove Ave Ste E, Hamilton, OH 45011-1930 Ph: (513) 795-7557 |
Rosa Reyes-santana, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1910 Fairgrove Ave Ste B, Hamilton, OH 45011 Phone: 513-867-7080 Fax: 513-241-4333 | |
Ms. Adriana Yodfat Glazer, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2250 Pleasant Ave, Hamilton, OH 45015 Phone: 513-868-4882 Fax: 513-868-1415 | |
Mr. Paul G Bruening, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1490 University Blvd, Hamilton, OH 45011 Phone: 513-896-7887 Fax: 513-896-5682 | |
Tracy Logan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1490 University Blvd, Hamilton, OH 45011 Phone: 513-896-7887 | |
Ms. Mary A. Rooney, LISW-S Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 438 Knightsbridge Dr, Hamilton, OH 45011 Phone: 713-818-2881 | |
Amy Crouch, LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2052 Princeton Rd, Hamilton, OH 45011 Phone: 513-863-6383 | |
Mrs. Shekinah S Hughes, BSW, MSW, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1910 Fairgrove Ave, Hamilton, OH 45011 Phone: 513-299-4053 |