Mrs Deborah Hoover Thomas, LCSW, LCAC | |
5873 Dunes Hwy Ste B2, Portage, IN 46368-1030 | |
(219) 508-9935 | |
(888) 291-7776 |
Full Name | Mrs Deborah Hoover Thomas |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 5873 Dunes Hwy Ste B2, Portage, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700158664 | NPI | - | NPPES |
485380017 | Other | IN | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 340002639A (Indiana) | Primary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 87000651A (Indiana) | Secondary |
Entity Name | Northwestern Community Services Board |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215930573 PECOS PAC ID: 2769371251 Enrollment ID: O20040312000681 |
Mailing Address | Practice Location Address |
---|---|
Mrs Deborah Hoover Thomas, LCSW, LCAC 5075 Park Ave, Portage, IN 46368-1117 Ph: (219) 508-9935 | Mrs Deborah Hoover Thomas, LCSW, LCAC 5873 Dunes Hwy Ste B2, Portage, IN 46368-1030 Ph: (219) 508-9935 |
Ashvin O Sheth, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3007 Cordele St, Portage, IN 46368 Phone: 219-762-3419 | |
Elise D Daxe, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3176 Lancer St, Portage, IN 46368 Phone: 219-762-9557 | |
Ms. Lisette Haro, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3176 Lancer St, Portage, IN 46368 Phone: 219-763-8857 Fax: 219-762-7318 | |
Sally Ann Primus, MSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3176 Lancer St, Suite 501, Portage, IN 46368 Phone: 219-762-9557 Fax: 219-762-7318 | |
Abby Collyard, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2323 Mercury St, Portage, IN 46368 Phone: 219-809-8264 | |
Michelle Lynn Mcbrayer, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6050 Sterling Creek Rd, Portage, IN 46368 Phone: 219-763-8112 Fax: 219-764-5380 | |
Mr. Brian H Dortmund, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6050 Sterling Creek Rd, Portage, IN 46368 Phone: 219-763-8112 |