Mr Chris C Grzywacz, LCSW | |
1101 Veterans Dr, Lexington, KY 40502-2235 | |
(859) 233-4511 | |
(895) 281-3867 |
Full Name | Mr Chris C Grzywacz |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 36 Years |
Location | 1101 Veterans Dr, Lexington, Kentucky |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376734129 | NPI | - | NPPES |
30615058 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 1300 (Kentucky) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Extended Care Specialists, Inc | 2466407713 | 195 |
Entity Name | Extended Care Specialists, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134146079 PECOS PAC ID: 2466407713 Enrollment ID: O20190703001141 |
Mailing Address | Practice Location Address |
---|---|
Mr Chris C Grzywacz, LCSW 1101 Veterans Dr, Lexington, KY 40502-2235 Ph: (859) 233-4511 | Mr Chris C Grzywacz, LCSW 1101 Veterans Dr, Lexington, KY 40502-2235 Ph: (859) 233-4511 |
Miss Cymbre Lin Root, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 230 N Limestone # 100, Lexington, KY 40507 Phone: 859-303-8041 | |
Mr. Adam Lynn Spencer, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1101 Veterans Dr, Lexington, KY 40502 Phone: 859-233-4511 Fax: 859-281-4810 | |
Kenneth Edward Wilson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2250 Leestown Rd, Lexington, KY 40511 Phone: 859-233-4511 Fax: 859-281-3823 | |
Mr. James C. Moore, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1101 Veterans Dr, 29-1-ld, Lexington, KY 40502 Phone: 859-281-3949 Fax: 859-281-3952 | |
Demetruis Renee Watson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1412 N Broadway Ste 204, Lexington, KY 40505 Phone: 859-412-1445 | |
Leeann Hayslett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 478 Stonehaven Dr, Lexington, KY 40505 Phone: 859-576-9656 | |
Wendy Ann Klaine, LCSW, LCADCA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1374 Bull Lea Rd, Lexington, KY 40511 Phone: 859-977-2501 |