Michael Marino, LCSW | |
100 N 15th St, Richmond, IN 47374-4355 | |
(765) 983-8600 | |
Not Available |
Full Name | Michael Marino |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 100 N 15th St, Richmond, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841071800 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 34010705A (Indiana) | Primary |
Entity Name | Centerstone Of Indiana, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992781470 PECOS PAC ID: 9436138427 Enrollment ID: O20040830000711 |
Mailing Address | Practice Location Address |
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Michael Marino, LCSW 645 S Rogers St, Bloomington, IN 47403-2353 Ph: () - | Michael Marino, LCSW 100 N 15th St, Richmond, IN 47374-4355 Ph: (765) 983-8600 |
Christina Henderson, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 520 S 9th St Ste A, Richmond, IN 47374 Phone: 765-935-5390 | |
Starla Wing, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 520 S 9th St Ste A, Richmond, IN 47374 Phone: 765-935-5390 Fax: 765-935-5392 | |
Amanda Mullins, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 54 S 15th St, Richmond, IN 47374 Phone: 765-983-8105 | |
Ms. Robin Morford, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2000 Wernle Rd Rm B6, Richmond, IN 47374 Phone: 765-966-2506 | |
Tamera Scotten, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 831 Dillon Dr, Richmond, IN 47374 Phone: 765-983-8000 Fax: 765-983-8609 | |
Kelly A Cody, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 630 E Main St, Suite 200, Richmond, IN 47374 Phone: 765-288-1928 Fax: 765-935-1582 | |
Ms. Kari Lyn Butler, LCSW, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 409 Toschlog Rd, Richmond, IN 47374 Phone: 765-965-9796 Fax: 765-965-4531 |