Jerome L Mattern, LCSW, LMHC,CRC,CCM | |
3660 Rome Dr, Lafayette, IN 47905-4488 | |
(765) 742-1816 | |
(765) 742-2257 |
Full Name | Jerome L Mattern |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 3660 Rome Dr, Lafayette, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801987607 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 34003823A (Indiana) | Primary |
101YM0800X | Counselor - Mental Health | 39000332A (Indiana) | Secondary |
Entity Name | Grow Healthcare Group Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220510002320 |
Mailing Address | Practice Location Address |
---|---|
Jerome L Mattern, LCSW, LMHC,CRC,CCM 3660 Rome Dr, Lafayette, IN 47905-4488 Ph: (765) 742-1816 | Jerome L Mattern, LCSW, LMHC,CRC,CCM 3660 Rome Dr, Lafayette, IN 47905-4488 Ph: (765) 742-1816 |
Carol F Cook, LCSW,MSW,ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3660 Rome Dr, Lafayette, IN 47905 Phone: 765-446-9394 Fax: 765-447-8875 | |
Mr. Randall Alan Pickering, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1116 N 16th St, Lafayette, IN 47904 Phone: 765-423-6300 Fax: 765-423-6301 | |
Soledad Kardinsmith, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 115 Farabee Dr N, Suite C, Lafayette, IN 47905 Phone: 765-588-7763 Fax: 765-423-5600 | |
Tasha Denise Snyder, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1716 Hartford St, Lafayette, IN 47904 Phone: 765-742-1567 Fax: 765-742-2750 | |
Delthea J Hill, PHD Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 427 N 6th St, Lafayette, IN 47901 Phone: 765-420-0938 Fax: 765-420-8218 | |
Karen Edwards, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 610 Main St, Lafayette, IN 47901 Phone: 765-423-2638 | |
Ms. Theresa Anne Slayton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 656a N 36th St, Lafayette, IN 47905 Phone: 765-449-1759 Fax: 765-449-1769 |