Mr Richard Donovan Jr, LCSW | |
603 N Wayne St, Angola, IN 46703-1081 | |
(260) 233-0780 | |
(260) 665-3026 |
Full Name | Mr Richard Donovan Jr |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 603 N Wayne St, Angola, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679983076 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 34001008A (Indiana) | Primary |
Entity Name | Neighborhood Health Clinics Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548291222 PECOS PAC ID: 8022926294 Enrollment ID: O20051012000658 |
Mailing Address | Practice Location Address |
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Mr Richard Donovan Jr, LCSW Po Box 14, Angola, IN 46703-0098 Ph: (260) 665-2972 | Mr Richard Donovan Jr, LCSW 603 N Wayne St, Angola, IN 46703-1081 Ph: (260) 233-0780 |
Dr. Thomas Edwin Smith, PH.D. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2955 W Orland Rd, Angola, IN 46703 Phone: 260-833-4976 Fax: 260-833-1885 | |
Ms. Jennifer Lynn Motz, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 603 N Wayne St, Angola, IN 46703 Phone: 260-668-8797 Fax: 260-665-1620 | |
Andrea Marie Strayer, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1235 W 100 N, Angola, IN 46703 Phone: 419-230-1484 | |
Ms. Cheryl Lynn Gay, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 Hoosier Dr, Suite E, Angola, IN 46703 Phone: 260-665-9494 Fax: 260-665-9496 | |
Mrs. Suzanne K Sprague, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 200 Hoosier Dr, Suite E, Angola, IN 46703 Phone: 260-665-9494 Fax: 260-665-9496 | |
Elizabeth A Andres, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3265 Intertech Dr, Angola, IN 46703 Phone: 260-665-9494 Fax: 260-665-9496 |