Mr Daniel Michael Mazzeo, LISW-S | |
14701 Detroit Ave Ste 775, Lakewood, OH 44107-4120 | |
(216) 352-3353 | |
Not Available |
Full Name | Mr Daniel Michael Mazzeo |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 14701 Detroit Ave Ste 775, Lakewood, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982977385 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | I 0009298 (Ohio) | Primary |
Entity Name | Ohioguidestone |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609123728 PECOS PAC ID: 5597910935 Enrollment ID: O20130308000507 |
Mailing Address | Practice Location Address |
---|---|
Mr Daniel Michael Mazzeo, LISW-S 1442 Northland Avenue, Lakewood, OH 44107 Ph: (216) 226-4242 | Mr Daniel Michael Mazzeo, LISW-S 14701 Detroit Ave Ste 775, Lakewood, OH 44107-4120 Ph: (216) 352-3353 |
Georgiana W. Gray, M.S.S.A., L.I.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15200 Madison Ave, Lakewood, OH 44107 Phone: 216-402-9188 | |
Lisa Michelle Wiborg, LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2160 Arthur Ave, Lakewood, OH 44107 Phone: 330-671-4963 | |
Dawn L Golba, LISW-S Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 15200 Madison Ave, Lakewood, OH 44107 Phone: 440-260-6117 Fax: 216-529-1630 | |
Amy J. Lipka, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17222 Clifton Blvd, Lakewood, OH 44107 Phone: 216-406-4368 | |
Ilana Spaulding, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1457 Larchmont Ave, Lakewood, OH 44107 Phone: 734-649-8865 | |
Ms. Elizabeth K. Biddulph, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12029 Clifton Blvd Apt 101, Lakewood, OH 44107 Phone: 216-355-2198 | |
Mr. Phillip H Emerson, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14701 Detroit Ave Ste 775, Lakewood, OH 44107 Phone: 216-315-3570 Fax: 216-228-1610 |