Mathew Peters, LCSW | |
415 E Madison St, South Bend, IN 46617-2322 | |
(574) 533-1234 | |
(574) 537-2652 |
Full Name | Mathew Peters |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 415 E Madison St, South Bend, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245840040 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 34008869A (Indiana) | Primary |
Entity Name | Oaklawn Psychiatric Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598847212 PECOS PAC ID: 6002801065 Enrollment ID: O20040419000647 |
Mailing Address | Practice Location Address |
---|---|
Mathew Peters, LCSW 330 Lakeview Dr, Goshen, IN 46528-7000 Ph: (574) 533-1234 | Mathew Peters, LCSW 415 E Madison St, South Bend, IN 46617-2322 Ph: (574) 533-1234 |
Mrs. Kathy James, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 611 Lincolnway E, South Bend, IN 46601 Phone: 574-232-2255 Fax: 574-232-8968 | |
Cheryl Quiogue-hunt, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 403 E Madison St, South Bend, IN 46617 Phone: 574-283-1107 Fax: 574-283-1161 | |
Deborah Helen Miller, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 108 N Main St, Suite 305, South Bend, IN 46601 Phone: 574-234-3515 Fax: 574-234-3565 | |
Faye Peterson-pottinger, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 403 E Madison St, South Bend, IN 46617 Phone: 574-283-1107 Fax: 574-283-1131 | |
Mrs. Olivia George, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 53846 Generations Dr Ste A, South Bend, IN 46635 Phone: 574-276-7366 | |
Mark V Snell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 403 E Madison St, South Bend, IN 46617 Phone: 574-533-1234 Fax: 574-537-2652 | |
Sarah A Pinter, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 403 E Madison St, South Bend, IN 46617 Phone: 574-283-1107 Fax: 574-283-1131 |