Mrs Lori A Makos, LCSW | |
114 East Ave, Wellsboro, PA 16901-1737 | |
(570) 723-0620 | |
(570) 724-0675 |
Full Name | Mrs Lori A Makos |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 114 East Ave, Wellsboro, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417189382 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CW017287 (Pennsylvania) | Primary |
Entity Name | North Penn Comprehensive Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912093576 PECOS PAC ID: 0446245880 Enrollment ID: O20040416000152 |
Mailing Address | Practice Location Address |
---|---|
Mrs Lori A Makos, LCSW 32-36 Central Ave, Wellsboro, PA 16901-1840 Ph: (570) 723-0574 | Mrs Lori A Makos, LCSW 114 East Ave, Wellsboro, PA 16901-1737 Ph: (570) 723-0620 |
William Douglas Chancellor, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 105 West Ave, Wellsboro, PA 16901 Phone: 570-723-0620 Fax: 570-724-0675 | |
Tyler O Benelli, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 114 East Ave, Wellsboro, PA 16901 Phone: 570-723-0620 Fax: 570-724-0675 | |
Alyssa Hoffman, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 114 East Ave, Wellsboro, PA 16901 Phone: 570-723-0620 Fax: 570-724-0675 | |
Susan Groover-van Pelt, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 62 Plaza Ln, Wellsboro, PA 16901 Phone: 570-724-7142 Fax: 570-724-6771 | |
Richard Hayford, MS, BSL Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 62 Plaza Ln, Wellsboro, PA 16901 Phone: 570-724-7142 Fax: 570-724-6771 | |
Erika Peterson, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 62 Plaza Ln, Wellsboro, PA 16901 Phone: 570-724-7142 Fax: 570-724-6771 |