Kristina Wills, LISW-S | |
4214 E Main St, Whitehall, OH 43213-3028 | |
(614) 334-6903 | |
Not Available |
Full Name | Kristina Wills |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 4214 E Main St, Whitehall, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326382292 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | I1450415-SUPV (Ohio) | Primary |
Entity Name | South Community Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427289818 PECOS PAC ID: 7315971066 Enrollment ID: O20050921001092 |
Entity Name | Lighthouse Behavioral Health Solutions, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629560230 PECOS PAC ID: 4486089893 Enrollment ID: O20200113001896 |
Mailing Address | Practice Location Address |
---|---|
Kristina Wills, LISW-S 3095 Kettering Blvd, Moraine, OH 45439-1983 Ph: (937) 293-8300 | Kristina Wills, LISW-S 4214 E Main St, Whitehall, OH 43213-3028 Ph: (614) 334-6903 |
Stacy Lynn Girdler, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4653 E Main St, Whitehall, OH 43213 Phone: 614-384-7798 Fax: 614-384-7703 | |
Alexandra Foley, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4653 E Main St, Whitehall, OH 43213 Phone: 614-384-7798 Fax: 614-384-7703 | |
Ms. Kris S. Hausser, MSW, LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5310 E Main St Ste 102, Whitehall, OH 43213 Phone: 614-751-1090 | |
Amber Bennett, MSW, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4653 E Main St, Whitehall, OH 43213 Phone: 614-384-3449 Fax: 614-384-7703 | |
Mrs. Lauren Nicole Swickheimer, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4653 E Main St, Whitehall, OH 43213 Phone: 614-729-9667 | |
Mr. Donald Lawrence Emerick Ii, MSW, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3768 E Main St, Whitehall, OH 43213 Phone: 833-510-4357 Fax: 866-460-2997 |