Mariah Janine Moore, SWT | |
401 South St, 4a, Chardon, OH 44024 | |
(440) 285-2170 | |
Not Available |
Full Name | Mariah Janine Moore |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 7 Years |
Location | 401 South St, Chardon, Ohio |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598201659 | NPI | - | NPPES |
S.1610524-TRNE | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | I.2103006 (Ohio) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ravenwood Mental Health Center | 6901813922 | 17 |
Entity Name | Ravenwood Mental Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730356296 PECOS PAC ID: 6901813922 Enrollment ID: O20060316000394 |
Mailing Address | Practice Location Address |
---|---|
Mariah Janine Moore, SWT 314 Irma Dr, Chardon, OH 44024-1424 Ph: () - | Mariah Janine Moore, SWT 401 South St, 4a, Chardon, OH 44024 Ph: (440) 285-2170 |
Lauren Anne Plott, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 13300 Aquilla Rd, Chardon, OH 44024 Phone: 440-279-2096 | |
Ms. Jennifer G Lacortiglia, LISW S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11575 Lower Chelsea Dr, Chardon, OH 44024 Phone: 440-212-4278 | |
Latia E Phillips-bey, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 695 South St Ste 6, Chardon, OH 44024 Phone: 216-970-7972 | |
Rebecca Petrey, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 695 South St Ste 6, Chardon, OH 44024 Phone: 440-286-1553 | |
Miss Lyle J. Morris, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 12557 Ravenwood Dr, Chardon, OH 44024 Phone: 440-285-3568 | |
Brooke-marie Noscal, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 695 South St Ste 6, Chardon, OH 44024 Phone: 440-286-1553 | |
Amanda Marie Love, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 12557 Ravenwood Dr, Chardon, OH 44024 Phone: 440-285-3568 Fax: 440-285-4552 |