Mrs Anna Lee Lopez, LISW | |
111 W Espy St, Kenton, OH 43326-2117 | |
(419) 679-5994 | |
(419) 225-8878 |
Full Name | Mrs Anna Lee Lopez |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 111 W Espy St, Kenton, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932529674 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | I.1600067 (Ohio) | Primary |
Entity Name | Tcn Behavioral Health Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336118256 PECOS PAC ID: 8224011135 Enrollment ID: O20040611000055 |
Mailing Address | Practice Location Address |
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Mrs Anna Lee Lopez, LISW 118 Maple Ave, Bellefontaine, OH 43311-1619 Ph: (937) 599-1975 | Mrs Anna Lee Lopez, LISW 111 W Espy St, Kenton, OH 43326-2117 Ph: (419) 679-5994 |
Mrs. Michelle L Monfort, MSW, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 111 W Espy St, Kenton, OH 43326 Phone: 419-679-5994 Fax: 419-225-8878 | |
Megan L Russell, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 111 W Espy St, Kenton, OH 43326 Phone: 419-679-5994 Fax: 419-225-8878 | |
Lisa Elizabeth Wagner, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 405 N Main St, Kenton, OH 43326 Phone: 419-679-5994 Fax: 419-225-8878 | |
Patricia Shae Golden, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 111 W Espy St, Kenton, OH 43326 Phone: 419-679-5994 Fax: 419-225-8878 |