Mr Jon W Fouts, ACSW, LISW-S | |
24 East Front St Ste 203, Pataskala, OH 43062-8357 | |
(740) 877-8115 | |
Not Available |
Full Name | Mr Jon W Fouts |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 24 East Front St Ste 203, Pataskala, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235691700 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0008077 (Ohio) | Primary |
Entity Name | Global Wellness Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215400924 PECOS PAC ID: 9931436540 Enrollment ID: O20190805003399 |
Mailing Address | Practice Location Address |
---|---|
Mr Jon W Fouts, ACSW, LISW-S 590 Newark Granville Rd, Granville, OH 43023-1436 Ph: (888) 531-7444 | Mr Jon W Fouts, ACSW, LISW-S 24 East Front St Ste 203, Pataskala, OH 43062-8357 Ph: (740) 877-8115 |
Holly Jedlicka, MSW, LISW-S Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 9800 Jug St Nw, Pataskala, OH 43062 Phone: 614-395-1395 Fax: 740-927-1516 | |
Allen Roberts, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 131 Oak Meadow Dr Ste 102, Pataskala, OH 43062 Phone: 614-835-6068 Fax: 614-524-0428 | |
Joann Heichel, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 241 Essex Pl, Pataskala, OH 43062 Phone: 614-989-1647 | |
Colleen Dempsey, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9734 Jug St Nw, Pataskala, OH 43062 Phone: 937-369-5305 | |
Heather Wise, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9734 Jug St Nw, Pataskala, OH 43062 Phone: 740-924-7543 | |
Erin Davies, LISW, JD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9734 Jug St Nw, Pataskala, OH 43062 Phone: 740-924-7543 |