Jonathan J Greenawalt, LSW is a
Counselor - Addiction (substance Use Disorder) based in Lorain, Ohio. Jonathan J Greenawalt is licensed to practice in Ohio (license number CDCA140854) and his current practice location is
2115 W Park Dr, Lorain, Ohio. He can be reached at his office (for appointments etc.) via phone at
(440) 989-4987.
NPI number for Jonathan J Greenawalt is 1184085839 and his current mailing address is 2115 W Park Dr, Lorain, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184085839.
Healthcare Provider's Profile
| Full Name | Jonathan J Greenawalt |
|---|
| Gender | Male |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 2115 W Park Dr, Lorain, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1184085839
- Provider Enumeration Date: 03/09/2016
- Last Update Date: 06/01/2018
Medical Identifiers
Medical identifiers for Jonathan J Greenawalt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184085839 | NPI | - | NPPES |
| CDCA.140854 | Other | OH | LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CDCA140854 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jonathan J Greenawalt is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jonathan J Greenawalt, LSW
2115 W Park Dr,
Lorain, OH 44053-1138
Ph: (440) 989-4987 | Jonathan J Greenawalt, LSW
2115 W Park Dr,
Lorain, OH 44053
Ph: (440) 989-4987 |
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