Lashayia Holman, LCSW | |
780 W 79th Ave, Merrillville, IN 46410-5419 | |
(219) 214-6889 | |
Not Available |
Full Name | Lashayia Holman |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 780 W 79th Ave, Merrillville, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063192730 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 34010524A (Indiana) | Primary |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210416002216 |
Mailing Address | Practice Location Address |
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Lashayia Holman, LCSW 780 W 79th Ave, Merrillville, IN 46410-5419 Ph: (219) 214-6889 | Lashayia Holman, LCSW 780 W 79th Ave, Merrillville, IN 46410-5419 Ph: (219) 214-6889 |
Joan Palmquist Wolford, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 290 A East 90th Drive, Merrillville, IN 46410 Phone: 219-736-9115 Fax: 219-736-9131 | |
Ms. Ellen Minter, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7108 Broadway Apt 1a, Merrillville, IN 46410 Phone: 219-810-5372 | |
Winnie H Mycka, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 8555 Taft St, Merrillville, IN 46410 Phone: 219-769-4005 | |
Laconyea Dylana Pitts-thomas, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 322 W 55th Ave, Merrillville, IN 46410 Phone: 219-985-8695 | |
Brian Pruim, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 24 Deerpath Rd, Merrillville, IN 46410 Phone: 219-213-1117 | |
Yolanda Coriano-tinoco, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1409 E 84th Pl, Merrillville, IN 46410 Phone: 219-794-2000 Fax: 219-794-2010 |