Larissa Sue Gerwig, LISW | |
6140 S Broadway, Lorain, OH 44053-3821 | |
(440) 233-7232 | |
Not Available |
Full Name | Larissa Sue Gerwig |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 6140 S Broadway, Lorain, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609240555 | NPI | - | NPPES |
0267605 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | I.1800862 (Ohio) | Primary |
Entity Name | Mercy Health Physicians Cincinnati Specialty Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154942795 PECOS PAC ID: 3971907759 Enrollment ID: O20210802003370 |
Mailing Address | Practice Location Address |
---|---|
Larissa Sue Gerwig, LISW 6140 S Broadway, Lorain, OH 44053-3891 Ph: () - | Larissa Sue Gerwig, LISW 6140 S Broadway, Lorain, OH 44053-3821 Ph: (440) 233-7232 |
Matthew Bernard Carleton, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 205 W 20th St, Lorain, OH 44052 Phone: 440-244-3833 | |
Bradie A Williams, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6140 S Broadway, Lorain, OH 44053 Phone: 440-233-7232 Fax: 440-204-4315 | |
Barbara Maher, L.I.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6140 S Broadway, Lorain, OH 44053 Phone: 440-204-4100 Fax: 440-233-4468 | |
Kathleen Campbell, L.I.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6140 S Broadway, Lorain, OH 44053 Phone: 440-204-4100 Fax: 440-233-4468 | |
Ms. Heidi Lynn Corso, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2173 N Ridge Rd E, Suite E, Lorain, OH 44055 Phone: 440-234-2006 | |
Kathryn Maimone, LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6140 S Broadway, Lorain, OH 44053 Phone: 440-204-4228 Fax: 440-233-9070 | |
Jose Gil Matos, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6140 S Broadway, Lorain, OH 44053 Phone: 440-204-4315 |