Mrs Adrienne Elizabeth Green, LISW | |
36000 Euclid Ave, Willoughby, OH 44094-4625 | |
(440) 602-6421 | |
(440) 602-6425 |
Full Name | Mrs Adrienne Elizabeth Green |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 36000 Euclid Ave, Willoughby, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639384845 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | I0009304 (Ohio) | Primary |
Entity Name | Signature Health, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679767289 PECOS PAC ID: 8628970985 Enrollment ID: O20040126000762 |
Mailing Address | Practice Location Address |
---|---|
Mrs Adrienne Elizabeth Green, LISW 27090 Mallard Ave, Euclid, OH 44132-1517 Ph: (216) 731-1975 | Mrs Adrienne Elizabeth Green, LISW 36000 Euclid Ave, Willoughby, OH 44094-4625 Ph: (440) 602-6421 |
Mrs. Kim Hearn-vance, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 36000 Euclid Ave, Willoughby, OH 44094 Phone: 440-251-9027 | |
Lisa Ann Leopold, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 38882 Mentor Ave, Willoughby, OH 44094 Phone: 440-953-9999 | |
Molly L Hearn, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 36000 Euclid Ave, Willoughby, OH 44094 Phone: 440-354-8934 | |
Dornice Ivanna Friday, MSW, LW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 36000 Euclid Ave, Willoughby, OH 44094 Phone: 440-953-9600 | |
Maureen O'connor, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 38882 Mentor Ave, Willoughby, OH 44094 Phone: 440-953-9999 | |
Maxene N Zion, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 34900 Chardon Rd, Suite #107, Willoughby, OH 44094 Phone: 440-951-5600 Fax: 440-951-1293 | |
Jennifer Rose Walter, LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 38882 Mentor Ave, Willoughby, OH 44094 Phone: 440-953-9999 |