Dale James Ezrow, LCSW | |
1259 S Cedar Crest Blvd Ste 230, Allentown, PA 18103-6376 | |
(610) 402-5900 | |
(610) 402-4650 |
Full Name | Dale James Ezrow |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 1259 S Cedar Crest Blvd Ste 230, Allentown, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013794866 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CW013334 (Pennsylvania) | Primary |
Entity Name | Lehigh Valley Physician Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335 |
Mailing Address | Practice Location Address |
---|---|
Dale James Ezrow, LCSW 2100 Mack Blvd Fl 4, Allentown, PA 18103-5622 Ph: (484) 884-0688 | Dale James Ezrow, LCSW 1259 S Cedar Crest Blvd Ste 230, Allentown, PA 18103-6376 Ph: (610) 402-5900 |
Sarah A Miller, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 530 N 7th St, Allentown, PA 18102 Phone: 484-221-9136 Fax: 484-221-9130 | |
Lauren Stutts, MSS, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1919 W Livingston St, Allentown, PA 18104 Phone: 484-695-7994 | |
Mrs. Lucia Alexandra Cortes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2020 Lawfer Ave, Allentown, PA 18104 Phone: 484-515-9848 | |
Monica R Johnson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5000 W Tilghman St, Allentown, PA 18104 Phone: 484-352-2794 | |
Mr. Kevin Lee Moore, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1728 Jonathan St, Suite 200, Allentown, PA 13104 Phone: 610-433-8550 Fax: 610-433-4488 | |
Ms. Susan Fiske, MSW,LCSW,BCD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1405 N Cedar Crest Blvd, Suite 115, Allentown, PA 18104 Phone: 610-432-0509 |