Mrs Kelly Stangl Meddaugh, CW | |
550 Pinetown Rd, Suite 210, Ft Washington, PA 19034-2605 | |
(215) 643-0200 | |
(215) 643-9844 |
Full Name | Mrs Kelly Stangl Meddaugh |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 550 Pinetown Rd, Ft Washington, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265573596 | NPI | - | NPPES |
7798213 | Other | PA | AETNA |
2321511000 | Other | PERSONAL CHOICE | |
344582000 | Other | PA | MAGELLAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CW013798 (Pennsylvania) | Primary |
Entity Name | Advanced Behavioral Health Treatment Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619379211 PECOS PAC ID: 5890013205 Enrollment ID: O20150415001910 |
Entity Name | Restoration And Wellness Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770172033 PECOS PAC ID: 7618353426 Enrollment ID: O20221003000684 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kelly Stangl Meddaugh, CW 830 Chestnut St, Suite #2, Royersford, PA 19468-2160 Ph: (610) 948-2200 | Mrs Kelly Stangl Meddaugh, CW 550 Pinetown Rd, Suite 210, Ft Washington, PA 19034-2605 Ph: (215) 643-0200 |
Sandy Weiner, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 550 Pinetown Rd, Suite350, Ft Washington, PA 19034 Phone: 215-643-0200 Fax: 215-643-9844 | |
Melissa Susan Latch, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 550 Pinetown Rd, Suite 350, Ft Washington, PA 19034 Phone: 215-643-0200 Fax: 215-643-9844 | |
Mrs. Ann Elizabeth Plenderleith, CW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 550 Pinetown Rd, Suite 210, Ft Washington, PA 19034 Phone: 215-643-0200 Fax: 215-643-9844 | |
Mr. Shane Stone, CW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 550 Pinetown Rd, Suite 210, Ft Washington, PA 19034 Phone: 215-643-0200 Fax: 215-643-9844 |