Darci Tellep, LISW | |
6150 Park Square Dr Ste B, Lorain, OH 44053-4153 | |
(440) 984-3882 | |
Not Available |
Full Name | Darci Tellep |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 6150 Park Square Dr Ste B, Lorain, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457730897 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | I.1700693 (Ohio) | Primary |
104100000X | Social Worker | S1450336 (Ohio) | Secondary |
Entity Name | Firelands Regional Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801884655 PECOS PAC ID: 6103734645 Enrollment ID: O20040415000236 |
Entity Name | Diana Santantonio, Ed.s And Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457740052 PECOS PAC ID: 8325367675 Enrollment ID: O20150507001922 |
Mailing Address | Practice Location Address |
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Darci Tellep, LISW 1925 Hayes Ave, Sandusky, OH 44870-4737 Ph: (419) 557-5177 | Darci Tellep, LISW 6150 Park Square Dr Ste B, Lorain, OH 44053-4153 Ph: (440) 984-3882 |
Matthew Bernard Carleton, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 205 W 20th St, Lorain, OH 44052 Phone: 440-244-3833 | |
Bradie A Williams, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6140 S Broadway, Lorain, OH 44053 Phone: 440-233-7232 Fax: 440-204-4315 | |
Barbara Maher, L.I.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6140 S Broadway, Lorain, OH 44053 Phone: 440-204-4100 Fax: 440-233-4468 | |
Kathleen Campbell, L.I.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6140 S Broadway, Lorain, OH 44053 Phone: 440-204-4100 Fax: 440-233-4468 | |
Ms. Heidi Lynn Corso, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2173 N Ridge Rd E, Suite E, Lorain, OH 44055 Phone: 440-234-2006 | |
Kathryn Maimone, LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6140 S Broadway, Lorain, OH 44053 Phone: 440-204-4228 Fax: 440-233-9070 | |
Jose Gil Matos, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6140 S Broadway, Lorain, OH 44053 Phone: 440-204-4315 |