Jessica Shaffer, LISW-S | |
15 N 3rd St, Suite 200, Newark, OH 43055-5550 | |
(740) 349-7511 | |
(740) 522-4263 |
Full Name | Jessica Shaffer |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 15 N 3rd St, Newark, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043669179 | NPI | - | NPPES |
2892946 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
104100000X | Social Worker | I0900294 (Ohio) | Secondary |
Entity Name | Secure Haven Behavioral Health Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871173880 PECOS PAC ID: 3678939121 Enrollment ID: O20230525001630 |
Mailing Address | Practice Location Address |
---|---|
Jessica Shaffer, LISW-S 15 N 3rd St, Suite 200, Newark, OH 43055-5550 Ph: (740) 349-7511 | Jessica Shaffer, LISW-S 15 N 3rd St, Suite 200, Newark, OH 43055-5550 Ph: (740) 349-7511 |
Elizabeth R Chalfant, LISW-S, LICDC Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 14 Sandalwood Dr, Newark, OH 43055 Phone: 740-349-7511 Fax: 740-522-4263 | |
Kimberly Lynne Sandbrink, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 65 Messimer Dr, Newark, OH 43055 Phone: 740-522-8477 Fax: 740-788-3424 | |
Tonya M Mcalear, MSW, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 120 N 21st St, Newark, OH 43055 Phone: 740-522-0009 | |
Mrs. Judith Ann Bickmeyer, MSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 65 Messimer Dr, Newark, OH 43055 Phone: 740-522-8477 Fax: 740-788-3401 | |
Kirstyn Paige Bashaw, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2112 Cherry Valley Rd, Newark, OH 43055 Phone: 614-908-0090 | |
Karla Jean Redman I, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15 N 3rd St Ste 300, Newark, OH 43055 Phone: 740-349-7511 |