Lori Burrow, LCSW | |
210 S Race St, Mishawaka, IN 46544-2032 | |
(574) 404-6755 | |
Not Available |
Full Name | Lori Burrow |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 210 S Race St, Mishawaka, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811715295 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 34011434A (Indiana) | Primary |
Entity Name | Michiana Neuroscience, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750862959 PECOS PAC ID: 0941544712 Enrollment ID: O20181205001056 |
Mailing Address | Practice Location Address |
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Lori Burrow, LCSW 50566 Park Ln E, Granger, IN 46530-7526 Ph: (574) 329-0021 | Lori Burrow, LCSW 210 S Race St, Mishawaka, IN 46544-2032 Ph: (574) 404-6755 |
Cheryl L Bonsell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 250 E. Day Road, Mishawaka, IN 46545 Phone: 574-247-8740 | |
Karen Elise Richie, LCSW, DSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2410 Grape Rd Ste 6, Mishawaka, IN 46545 Phone: 574-217-0128 Fax: 574-288-3447 | |
Lacey Barroso, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 310 W Mckinley Ave Ste 318, Mishawaka, IN 46545 Phone: 574-366-4616 | |
Mrs. G Darlene Radcliff, MSW LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 113 Lincoln Way East, Mishawaka, IN 46544 Phone: 574-255-4976 Fax: 574-255-1882 | |
Heidi Kauffmann, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1540 Trinity Pl, Mishawaka, IN 46545 Phone: 574-272-9000 | |
Emily Sampson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3835 Edison Lakes Pkwy Ste 200, Mishawaka, IN 46545 Phone: 574-210-0303 | |
Miss Julie Albano, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1411 Lincolnway W, Mishawaka, IN 46544 Phone: 574-259-5666 Fax: 574-537-2652 |