Cory Ann Headley, | |
1800 Wesley Rd, Auburn, IN 46706-3653 | |
(260) 925-2453 | |
(260) 925-0830 |
Full Name | Cory Ann Headley |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1800 Wesley Rd, Auburn, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740909332 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 34007886A (Indiana) | Primary |
Entity Name | Northeastern Center, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720140908 PECOS PAC ID: 6709795636 Enrollment ID: O20040605000289 |
Mailing Address | Practice Location Address |
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Cory Ann Headley, 1800 Wesley Rd, Auburn, IN 46706-3653 Ph: (260) 925-2453 | Cory Ann Headley, 1800 Wesley Rd, Auburn, IN 46706-3653 Ph: (260) 925-2453 |
Mrs. Kristina Michelle Brockhouse, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1752 Wesley Rd, Auburn, IN 46706 Phone: 260-925-3865 | |
Mrs. Shirley Faith Souder, COUNSELOR Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5613 County Road 29, Auburn, IN 46706 Phone: 260-925-0798 Fax: 260-925-0798 | |
Mrs. Denise Marie Wells, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1800 Wesley Rd, Auburn, IN 46706 Phone: 260-925-2453 Fax: 260-925-0830 | |
Samantha J Krider, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1800 Wesley Rd, Auburn, IN 46706 Phone: 260-925-2453 Fax: 260-925-0830 | |
Robin Berger, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1800 Wesley Rd, Auburn, IN 46706 Phone: 260-925-2453 Fax: 260-925-0830 | |
Mrs. Diane Rena Page, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 409 Steeplechase Dr, Auburn, IN 46706 Phone: 260-927-8063 |