Melissa Diane Fields, LISW-S | |
7232 Justin Way, Mentor, OH 44060-4881 | |
(440) 578-8200 | |
Not Available |
Full Name | Melissa Diane Fields |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 7232 Justin Way, Mentor, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346362563 | NPI | - | NPPES |
0186378 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | I.0700040-SUPV (Ohio) | Primary |
Entity Name | Signature Health, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679767289 PECOS PAC ID: 8628970985 Enrollment ID: O20040126000762 |
Mailing Address | Practice Location Address |
---|---|
Melissa Diane Fields, LISW-S 7232 Justin Way, Mentor, OH 44060-4881 Ph: (440) 578-8200 | Melissa Diane Fields, LISW-S 7232 Justin Way, Mentor, OH 44060-4881 Ph: (440) 578-8200 |
Melissa Marie Heidemann, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8445 Munson Rd, Mentor, OH 44060 Phone: 440-255-1700 Fax: 440-205-2417 | |
Ophira Dar, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8500 Station St, Mentor, OH 44060 Phone: 440-721-8979 | |
Melissa Weber, LSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7232 Justin Way, Mentor, OH 44060 Phone: 440-578-8200 | |
Mr. Evan Andrew Langholt, MSSA LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7350 Palisades Pkwy, Mentor, OH 44060 Phone: 440-918-1000 Fax: 440-918-1029 | |
Yih-ting Huang Merk, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7232 Justin Way, Mentor, OH 44060 Phone: 440-578-8200 | |
Mr. Harry Michael Core, LISW MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9500 Mentor Avenue, Ste 320, Mentor, OH 44060 Phone: 440-639-1221 Fax: 440-639-1112 | |
Ms. Susan W Goldhamer, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8445 Munson Rd, Mentor, OH 44060 Phone: 440-255-1700 Fax: 440-205-2417 |