Dornice Ivanna Friday, MSW, LW | |
36000 Euclid Ave, Willoughby, OH 44094-4625 | |
(440) 953-9600 | |
Not Available |
Full Name | Dornice Ivanna Friday |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 36000 Euclid Ave, Willoughby, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053941195 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | S.1502313 (Ohio) | Primary |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210316002509 |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220604000326 |
Mailing Address | Practice Location Address |
---|---|
Dornice Ivanna Friday, MSW, LW 998 Marietta Dr, Painesville, OH 44077-2704 Ph: (330) 348-4524 | Dornice Ivanna Friday, MSW, LW 36000 Euclid Ave, Willoughby, OH 44094-4625 Ph: (440) 953-9600 |
Mrs. Kim Hearn-vance, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 36000 Euclid Ave, Willoughby, OH 44094 Phone: 440-251-9027 | |
Lisa Ann Leopold, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 38882 Mentor Ave, Willoughby, OH 44094 Phone: 440-953-9999 | |
Molly L Hearn, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 36000 Euclid Ave, Willoughby, OH 44094 Phone: 440-354-8934 | |
Maureen O'connor, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 38882 Mentor Ave, Willoughby, OH 44094 Phone: 440-953-9999 | |
Maxene N Zion, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 34900 Chardon Rd, Suite #107, Willoughby, OH 44094 Phone: 440-951-5600 Fax: 440-951-1293 | |
Jennifer Rose Walter, LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 38882 Mentor Ave, Willoughby, OH 44094 Phone: 440-953-9999 |