| Kourtnie J Michelle Iverson, LSW | |
|
60 N Stygler Rd, Gahanna, OH 43230-2435 | |
| (614) 475-2014 | |
| Not Available |
| Full Name | Kourtnie J Michelle Iverson |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 60 N Stygler Rd, Gahanna, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982152146 | NPI | - | NPPES |
| 0283825 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | S1500695 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | I.2102873 (Ohio) | Primary |
| Entity Name | Minuteclinic Diagnostic Of Ohio Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699747303 PECOS PAC ID: 2961425608 Enrollment ID: O20060109001066 |
| 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 |
|---|---|
| Kourtnie J Michelle Iverson, LSW 1791 Alum Creek Dr, Columbus, OH 43207-1708 Ph: (614) 445-8131 | Kourtnie J Michelle Iverson, LSW 60 N Stygler Rd, Gahanna, OH 43230-2435 Ph: (614) 475-2014 |
Rebecca Lynn Hetteberg, MSW LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4625 Morse Rd Ste 200, Gahanna, OH 43230 Phone: 614-383-8381 Fax: 855-259-2615 | |
Leah Mclain, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 540 Officenter Pl Ste 180, Gahanna, OH 43230 Phone: 888-336-1772 | |
Mrs. Marcia Alexis Walker, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 950 Taylor Station Rd, Suite Q, Gahanna, OH 43230 Phone: 614-516-6244 | |
Krystal L Martin, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 338 Granville St, Gahanna, OH 43230 Phone: 614-475-7090 Fax: 614-475-5208 | |
Kelly Spears, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 800 Cross Pointe Rd Ste 800d, Gahanna, OH 43230 Phone: 614-835-6068 Fax: 614-524-0428 | |
Shelby R. Cook, LISW-S, LCSW-QS Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 800 Cross Pointe Rd Ste 800d, Gahanna, OH 43230 Phone: 614-835-6068 Fax: 614-524-0428 | |
Mr. Christopher Michael Eley, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 540 Office Center Pl Ste 180, Gahanna, OH 43230 Phone: 888-336-1772 Fax: 614-453-8801 |