Mr Malcolm James Eldredge, LCSW | |
1205 Grampian Blvd, Suite 3c, Williamsport, PA 17701-1970 | |
(570) 320-7800 | |
(570) 320-7801 |
Full Name | Mr Malcolm James Eldredge |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 1205 Grampian Blvd, Williamsport, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790120921 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CW017757 (Pennsylvania) | Primary |
Entity Name | Ivyland Counseling Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497837355 PECOS PAC ID: 5698775146 Enrollment ID: O20070105000362 |
Mailing Address | Practice Location Address |
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Mr Malcolm James Eldredge, LCSW 1201 Grampian Blvd, Williamsport, PA 17701-1900 Ph: () - | Mr Malcolm James Eldredge, LCSW 1205 Grampian Blvd, Suite 3c, Williamsport, PA 17701-1970 Ph: (570) 320-7800 |
Laurel Lea Spencer, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 435 W 4th St, Williamsport, PA 17701 Phone: 570-322-7873 Fax: 570-322-8026 | |
Mrs. Lyndsey M Stiger, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1000 Commerce Park Dr, Suite 110, Williamsport, PA 17701 Phone: 570-323-6944 Fax: 570-323-6944 | |
Tanya D Frey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1000 Commerce Park Dr, Suite 110, Williamsport, PA 17701 Phone: 570-323-6944 Fax: 570-323-4529 | |
Mr. Matthew Groff, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1100 Grampian Blvd, Williamsport, PA 17701 Phone: 570-320-7525 Fax: 570-320-7484 | |
John C Youngman, MSW,CSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1000 Commerce Park Dr, Suite 110, Williamsport, PA 17701 Phone: 570-323-6944 Fax: 570-323-4529 | |
Mrs. Kelly Goff, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 836 Faxon Pkwy, Williamsport, PA 17701 Phone: 814-577-0394 | |
Mrs. Brandy Lachelle Thompson-fisher, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 123 Valley Heights Dr, Williamsport, PA 17701 Phone: 570-651-9087 |