Mrs Jill C Miller, MSW, LISW-S | |
625 Cleveland Ave Nw, Canton, OH 44702-1805 | |
(330) 455-0374 | |
(330) 455-2101 |
Full Name | Mrs Jill C Miller |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 15 Years |
Location | 625 Cleveland Ave Nw, Canton, Ohio |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447576129 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | I.0800419-SUPV (Ohio) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Commquest Services, Inc. | 9335110824 | 19 |
Sondermind Provider Network Llc | 9537572490 | 485 |
Sondermind Provider Network Llc | 9537572490 | 485 |
Sondermind Provider Network Llc | 9537572490 | 485 |
Entity Name | Commquest Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730168311 PECOS PAC ID: 9335110824 Enrollment ID: O20040805001641 |
Entity Name | Sondermind Provider Network Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210316002509 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jill C Miller, MSW, LISW-S 625 Cleveland Ave Nw, Canton, OH 44702-1805 Ph: (330) 455-0374 | Mrs Jill C Miller, MSW, LISW-S 625 Cleveland Ave Nw, Canton, OH 44702-1805 Ph: (330) 455-0374 |
Mark Woods, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 624 Market Ave N, Canton, OH 44702 Phone: 330-454-7066 | |
Randall Devney, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4895 Dressler Rd Nw, Canton, OH 44718 Phone: 330-493-0083 | |
Kristina Marie Drummer, LISW-S Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 400 Tuscarawas St W, Canton, OH 44702 Phone: 330-438-2400 | |
Susan Stroup, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 624 Market Ave N, Canton, OH 44702 Phone: 330-454-7066 | |
Nicholas Fulks, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 400 Tuscarawas St W, Canton, OH 44702 Phone: 330-438-2400 Fax: 330-823-7078 | |
Kate Kelly, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4895 Dressler Rd Nw, Canton, OH 44718 Phone: 330-493-0083 | |
Mrs. Jessica Rwejuna, MSSA-LSW S1440171 Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Ohio Guidestone, 401 West Tuscarawas St, Suite 501, Canton, OH 44702 Phone: 440-260-8300 |