Diane Lillington, | |
7 Bristol Ct, Wyomissing, PA 19610-1805 | |
(484) 641-8098 | |
Not Available |
Full Name | Diane Lillington |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 7 Bristol Ct, Wyomissing, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356724603 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CW022329 (Pennsylvania) | Primary |
Entity Name | Wise Mind Therapeutic Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275239592 PECOS PAC ID: 6901270164 Enrollment ID: O20230330000498 |
Mailing Address | Practice Location Address |
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Diane Lillington, 7 Bristol Ct, Wyomissing, PA 19610-1805 Ph: (484) 641-8098 | Diane Lillington, 7 Bristol Ct, Wyomissing, PA 19610-1805 Ph: (484) 641-8098 |
Beth Aileen Baxter, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2201 Ridgewood Rd, Wyomissing, Wyomissing, PA 19610 Phone: 610-378-9601 Fax: 610-378-3610 | |
Kathryn Tylka, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 833 N Park Rd Ste 101, Wyomissing, PA 19610 Phone: 610-396-5094 | |
Ms. Jenny E Kemps, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4 Park Plz, Wyomissing, PA 19610 Phone: 610-376-0901 Fax: 610-966-6767 | |
Julie Gabriel, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1115 Thrush Rd, Wyomissing, PA 19610 Phone: 610-987-0049 | |
Ms. Marie Cornelia Ryan, LSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 716 N Park Rd, Wyomissing, PA 19610 Phone: 610-375-0544 | |
Miss April Louise Faust, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 716 N Park Rd, Wyomissing, PA 19610 Phone: 610-375-0544 | |
Ms. Lindsay Bowers, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 560 Van Reed Rd, Wyomissing, PA 19610 Phone: 888-726-4774 |