Mandy Ann Fauble, LCSW | |
1330 W 26th St, Erie, PA 16508-1402 | |
(814) 459-9300 | |
(814) 454-7780 |
Full Name | Mandy Ann Fauble |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1330 W 26th St, Erie, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134100258 | NPI | - | NPPES |
001679712 | Other | PA | HIGHMARK |
467400 | Other | PA | VALUEOPTIONS |
530903-000 | Other | PA | MAGELLANE |
7717663 | Other | PA | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CW014906 (Pennsylvania) | Primary |
Entity Name | Safe Harbor Behavioral Health Of Upmc Hamot |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083695985 PECOS PAC ID: 6305743154 Enrollment ID: O20031218000519 |
Mailing Address | Practice Location Address |
---|---|
Mandy Ann Fauble, LCSW 1330 W 26th St, Erie, PA 16508-1402 Ph: (814) 459-9300 | Mandy Ann Fauble, LCSW 1330 W 26th St, Erie, PA 16508-1402 Ph: (814) 459-9300 |
Kristen A Schenker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1373 W 6th St, Erie, PA 16505 Phone: 814-873-4205 | |
Brent Vargo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2910 State St, Erie, PA 16508 Phone: 814-464-5686 | |
Donna M Snyder, LCSW, CAC DIPLOMATE Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1910 Sassafras St, Suite 100, Erie, PA 16502 Phone: 814-452-5490 Fax: 814-452-7610 | |
Ms. Antoinette Louise Baker-mulford, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5100 Peach St, Erie, PA 16509 Phone: 814-866-4500 Fax: 814-866-2677 | |
Mrs. Julia Rose Copen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1910 Sassafras St, Erie, PA 16502 Phone: 814-452-5843 Fax: 814-452-7610 | |
Ann Hippely, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5100 Peach St, Erie, PA 16509 Phone: 814-866-4500 | |
Mr. David T. Urban, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 956 W 38th St, Erie, PA 16508 Phone: 814-864-9719 Fax: 814-866-1171 |