Erica Detrick, LCSW | |
310 American Way Ste A, Weirton, WV 26062-4083 | |
(304) 797-6320 | |
Not Available |
Full Name | Erica Detrick |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 15 Years |
Location | 310 American Way Ste A, Weirton, West Virginia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194005777 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CW017661 (Pennsylvania) | Secondary |
1041C0700X | Social Worker - Clinical | DP00945474 (West Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cognitive Medicine Practice Pllc | 8527242759 | 8 |
Cognitive Medicine Practice Pllc | 8527242759 | 8 |
Entity Name | Washington Physician Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316917669 PECOS PAC ID: 6103719562 Enrollment ID: O20040209000011 |
Entity Name | Cognitive Medicine Practice Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760789093 PECOS PAC ID: 8527242759 Enrollment ID: O20120815000552 |
Mailing Address | Practice Location Address |
---|---|
Erica Detrick, LCSW Po Box 6230, Wheeling, WV 26003-0722 Ph: (304) 242-7106 | Erica Detrick, LCSW 310 American Way Ste A, Weirton, WV 26062-4083 Ph: (304) 797-6320 |
Julia Leann Macaluso, MSW, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3920 Washington St, Weirton, WV 26062 Phone: 304-748-3768 | |
Robert Lee Kolb, MASTER OF SOCIAL WOR Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 601 Colliers Way, Level 9, Weirton, WV 26062 Phone: 304-797-6410 Fax: 304-797-6320 | |
Terry F. Stemple, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 501 Colliers Way, Weirton, WV 26062 Phone: 304-723-5440 Fax: 304-723-0665 | |
Carrie Ellis-crnkovich, MSW,LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3920 Washington St, Weirton, WV 26062 Phone: 304-748-3769 | |
Larry M. Patrick, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 501 Colliers Way, Weirton, WV 26062 Phone: 304-723-5440 Fax: 304-723-0665 | |
Christine Vrtar, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 485 Colliers Way Ste C, Weirton, WV 26062 Phone: 304-723-4260 Fax: 304-723-4264 |