Mrs Linda Renee Stout, LISW-S | |
2640 Saint Charles Ave, Dayton, OH 45410-3147 | |
(937) 610-5880 | |
Not Available |
Full Name | Mrs Linda Renee Stout |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2640 Saint Charles Ave, Dayton, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467815480 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | I.145136-SUPV (Ohio) | Primary |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210316002509 |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220604000326 |
Mailing Address | Practice Location Address |
---|---|
Mrs Linda Renee Stout, LISW-S 21 E Babbitt St, Dayton, OH 45405-4903 Ph: (937) 610-5880 | Mrs Linda Renee Stout, LISW-S 2640 Saint Charles Ave, Dayton, OH 45410-3147 Ph: (937) 610-5880 |
Carrie Cook Latt, LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1010 Valley St, Dayton, OH 45404 Phone: 937-641-3401 Fax: 937-641-3046 | |
Elizabeth Dawn Morgan, MSW, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 289 Hilltop Dr, Dayton, OH 45415 Phone: 513-407-2944 | |
Ms. Mawausi Ssabah Arraheem, MSW, CSW, LICDC,LPN Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4100 W 3rd St, Dayton, OH 45428 Phone: 937-268-6511 | |
Holly T Lefevre, MSSA, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-5300 Fax: 937-641-5134 | |
Lacey Walker, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1785 Big Hill Rd, Dayton, OH 45439 Phone: 937-264-0084 | |
Nicholle Megan Bair, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4100 W 3rd St, Building 410, Dayton, OH 45428 Phone: 937-268-6511 | |
Stephanie Ann Bricker, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4100 W 3rd St, Dayton, OH 45428 Phone: 937-268-6511 |