Marlene J Fannon, LISW-S | |
126 E 2nd St, Chillicothe, OH 45601-2593 | |
(513) 834-7063 | |
(513) 873-1567 |
Full Name | Marlene J Fannon |
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Gender | Female |
Speciality | Social Worker |
Location | 126 E 2nd St, Chillicothe, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346488921 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | I.1000181-SUPV (Ohio) | Secondary |
104100000X | Social Worker | I.1000181-SUPV (Ohio) | Primary |
Entity Name | Harbor |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366526782 PECOS PAC ID: 8325931181 Enrollment ID: O20040205000276 |
Entity Name | Central Community Health Board Of Hamilton County, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972617728 PECOS PAC ID: 6608800792 Enrollment ID: O20050919000509 |
Mailing Address | Practice Location Address |
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Marlene J Fannon, LISW-S 446 Morgan St, Cincinnati, OH 45206-2348 Ph: (513) 834-7063 | Marlene J Fannon, LISW-S 126 E 2nd St, Chillicothe, OH 45601-2593 Ph: (513) 834-7063 |
Donna Jo Collier-stepp, LISW-S Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4439 State Route 159 Ste 120, Chillicothe, OH 45601 Phone: 740-779-7440 | |
Mr. John Gary Meinhardt, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17273 State Route 104, Chillicothe, OH 45601 Phone: 740-773-1141 Fax: 740-779-5527 | |
Judith L Clark, L.I.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17273 State Route 104, Chillicothe, OH 45601 Phone: 740-773-1141 Fax: 740-772-7187 | |
Ronald Clarence Pope, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17273 State Route 104, Chillicothe, OH 45601 Phone: 740-773-1141 | |
William M Hoffman Jr., LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17273 State Route 104, Chillicothe, OH 45601 Phone: 740-773-1141 | |
Ms. Carroll Anne Mcshane, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17273 State Route 104, Chillicothe, OH 45601 Phone: 740-773-1141 Fax: 740-772-7051 | |
Kayla Danielle Swann, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17273 State Route 104, Chillicothe, OH 45601 Phone: 740-773-1141 |