Jaclyn M Scanlan, LISW | |
5350 Lamme Rd, Moraine, OH 45439-3215 | |
(937) 534-4632 | |
(937) 534-4609 |
Full Name | Jaclyn M Scanlan |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 5350 Lamme Rd, Moraine, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700028800 | NPI | - | NPPES |
000000611131 | Other | OH | ANTHEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | I0800313 (Ohio) | Primary |
Entity Name | Alliance Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437125572 PECOS PAC ID: 0840104360 Enrollment ID: O20031118000529 |
Mailing Address | Practice Location Address |
---|---|
Jaclyn M Scanlan, LISW 1532 Little Falls Dr, Dayton, OH 45458-9707 Ph: (315) 269-4261 | Jaclyn M Scanlan, LISW 5350 Lamme Rd, Moraine, OH 45439-3215 Ph: (937) 534-4632 |
Elizabeth Liapis, LISW-SUPV Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300 Fax: 937-534-1347 | |
Emily Nicole Broad, LSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300 | |
Pamela Bailey, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300 | |
Dawn Marie Dickman, SWT Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2211 Arbor Blvd, Moraine, OH 45439 Phone: 937-222-9481 | |
Jarhal Duncan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300 Fax: 937-534-1347 | |
Mrs. Ashley Diane Leblanc, MSW/LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300 | |
Ciara Nicole Blake, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300 |