Dr Candida R Madrigal, LCSW | |
283 Butler Rd, Mount Gretna, PA 17064-6085 | |
(717) 273-8871 | |
(717) 273-2732 |
Full Name | Dr Candida R Madrigal |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 283 Butler Rd, Mount Gretna, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366895450 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CW019064 (Pennsylvania) | Primary |
1041C0700X | Social Worker - Clinical | LCS22862 (California) | Secondary |
Entity Name | Philhaven |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043316441 PECOS PAC ID: 8729991419 Enrollment ID: O20031110000103 |
Mailing Address | Practice Location Address |
---|---|
Dr Candida R Madrigal, LCSW 283 Butler Rd, Mount Gretna, PA 17064-6085 Ph: (717) 273-8871 | Dr Candida R Madrigal, LCSW 283 Butler Rd, Mount Gretna, PA 17064-6085 Ph: (717) 273-8871 |
Lori Ann Moskel, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 283 Butler Rd, Mount Gretna, PA 17064 Phone: 717-273-8871 | |
Jennifer Ann Lyristis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 283 Butler Rd, Mount Gretna, PA 17064 Phone: 717-273-8871 | |
Elisabeth C Mamourian Corona, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 283 Butler Rd # 550, Mount Gretna, PA 17064 Phone: 717-273-8871 Fax: 717-273-8871 |