Molly Grant, MSW, LISW-S | |
175 S Main St, Centerville, OH 45458-2372 | |
(937) 434-0540 | |
(937) 434-6726 |
Full Name | Molly Grant |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 175 S Main St, Centerville, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164908166 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | PO12133 (North Carolina) | Primary |
Entity Name | Gaston Family Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215932215 PECOS PAC ID: 5496733925 Enrollment ID: O20040712000470 |
Mailing Address | Practice Location Address |
---|---|
Molly Grant, MSW, LISW-S 243 Orville St Apt 11, Fairborn, OH 45324-2941 Ph: (508) 562-0491 | Molly Grant, MSW, LISW-S 175 S Main St, Centerville, OH 45458-2372 Ph: (937) 434-0540 |
Shavonne Phillips, MSW, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 850 Revere Village Ct, Centerville, OH 45458 Phone: 937-901-2160 | |
Jillane E Holland, LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6601 Centerville Business Pkwy Ste 310, Centerville, OH 45459 Phone: 216-468-5000 | |
Mrs. Cynthia Axiotes Toscano, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 180 E Spring Valley Rd, Ste B, Centerville, OH 45458 Phone: 937-291-1351 Fax: 937-291-1719 | |
Mrs. Lois Ann Depp, MSW, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1169 Timber Hawk Trl, Centerville, OH 45458 Phone: 937-267-3909 Fax: 937-267-5314 | |
Miss Amy A Hahn, MSW, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6551 Centerville Business Pkwy, Centerville, OH 45459 Phone: 937-291-6850 Fax: 937-291-6896 | |
Melodie K Morrow, MSW, LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 955 Congress Park Dr, Centerville, OH 45459 Phone: 937-907-1437 Fax: 937-741-4788 |