| Heather Lauderback, LISW-S | |
|
6515 Pullman Dr Ste 2200, Lewis Center, OH 43035-7381 | |
| (614) 688-7076 | |
| (614) 688-7155 |
| Full Name | Heather Lauderback |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 6515 Pullman Dr Ste 2200, Lewis Center, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447773965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I.0008326 (Ohio) | Primary |
| Entity Name | Osu Family Practice Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659339653 PECOS PAC ID: 9032023874 Enrollment ID: O20031117000511 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Lauderback, LISW-S 7511 Tall Pine Dr, Lewis Center, OH 43035 Ph: (614) 600-0469 | Heather Lauderback, LISW-S 6515 Pullman Dr Ste 2200, Lewis Center, OH 43035-7381 Ph: (614) 688-7076 |
Carrie Danielle Hunt, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7100 Graphics Way, Lewis Center, OH 43035 Phone: 740-428-0428 Fax: 740-909-4077 | |
Lyndsey Nicole Hankins, SWT Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7100 Graphics Way Ste 3100, Lewis Center, OH 43035 Phone: 740-428-0428 | |
Sydney Sanford, MSW, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7100 Graphics Way Ste 3100, Lewis Center, OH 43035 Phone: 740-428-0428 Fax: 740-909-4077 | |
Rachel Guillen Rosenberg, MSW, LSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7100 Graphics Way Ste 3100, Lewis Center, OH 43035 Phone: 740-428-0428 | |
Margaret Brown, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7100 Graphics Way Ste 3100, Lewis Center, OH 43035 Phone: 740-428-0428 Fax: 740-909-4077 | |
Ms. Molly Ruth Bochenek, LISW-SUPV Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3771 Pine Ridge Dr, Lewis Center, OH 43035 Phone: 216-415-2955 | |
Sara Bailey, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7100 Graphics Way Ste 3100, Lewis Center, OH 43035 Phone: 740-428-0428 Fax: 740-909-4077 |