Jennifer Dzugan, LISW | |
1083 Mentor Ave, Painesville, OH 44077-1829 | |
(440) 358-7370 | |
Not Available |
Full Name | Jennifer Dzugan |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1083 Mentor Ave, Painesville, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053624601 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | I 1000088 (Ohio) | Primary |
Entity Name | Sondermind Provider Network Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210316002509 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Dzugan, LISW 1083 Mentor Ave, Painesville, OH 44077-1829 Ph: () - | Jennifer Dzugan, LISW 1083 Mentor Ave, Painesville, OH 44077-1829 Ph: (440) 358-7370 |
Sarah Yenkevich, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7234 S Holmes Pl, Painesville, OH 44077 Phone: 440-667-3310 | |
Jeffery Schafer, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1486 Forestbrook Ln, Painesville, OH 44077 Phone: 330-620-5957 | |
Shavonne Morgan, MSW,LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 180 W Washington St, Painesville, OH 44077 Phone: 440-354-2094 | |
Jennifer Lynn Baker, MSSA, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1083 Mentor Ave, Painesville, OH 44077 Phone: 440-358-7370 | |
Mr. Thomas Harold Coss, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 54 S State St, Suite 204, Painesville, OH 44077 Phone: 440-357-6740 Fax: 440-350-0506 | |
Miss Amy Korsch, MSSA, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 41 E Erie St, Lower Level, Painesville, OH 44077 Phone: 440-358-7370 Fax: 440-358-7373 |