Kristina E Mielke, LCSW | |
40 W Wellsboro St, Mansfield, PA 16933-1411 | |
(570) 723-0623 | |
(570) 662-1977 |
Full Name | Kristina E Mielke |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 40 W Wellsboro St, Mansfield, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164845848 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | North Penn Comprehensive Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912093576 PECOS PAC ID: 0446245880 Enrollment ID: O20040416000152 |
Mailing Address | Practice Location Address |
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Kristina E Mielke, LCSW 1 W Main St, Fleetwood, PA 19522-1323 Ph: (610) 944-0445 | Kristina E Mielke, LCSW 40 W Wellsboro St, Mansfield, PA 16933-1411 Ph: (570) 723-0623 |
Mr. Donald Benelli, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: St. James & Third Street, Suite 103a, Mansfield, PA 16933 Phone: 570-662-7600 Fax: 570-662-7726 | |
Mrs. Cynthia Brown Borzok, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 63 3rd St Ste 103, Mansfield, PA 16933 Phone: 570-662-7600 | |
Mrs. Amanda Carson, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 63 3rd St, Mansfield, PA 16933 Phone: 570-662-7600 | |
Jolene Meisner, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 31 S Academy St, Mansfield, PA 16933 Phone: 570-662-4696 | |
Ms. Deanna Joy Fish-layton, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 63 3rd St, Mansfield, PA 16933 Phone: 570-662-7600 Fax: 570-662-7726 | |
Ms. Beverly Dochstader, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: St. James & Third Street, Suite 103s, Mansfield, PA 16933 Phone: 570-662-7600 Fax: 570-662-7726 |