Ms Mary A Larocque, MSW LCSW | |
7806 W Jefferson Blvd Ste C, Fort Wayne, IN 46804-4180 | |
(260) 203-4188 | |
(260) 203-5136 |
Full Name | Ms Mary A Larocque |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 52 Years |
Location | 7806 W Jefferson Blvd Ste C, Fort Wayne, Indiana |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851309876 | NPI | - | NPPES |
200800080 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 34001252A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Von Bargen Associates Inc | 8426011792 | 2 |
Psychiatric Services P C | 8628124567 | 2 |
Entity Name | Von Bargen Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366492043 PECOS PAC ID: 8426011792 Enrollment ID: O20050823000675 |
Entity Name | Psychiatric Services P C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194913228 PECOS PAC ID: 8628124567 Enrollment ID: O20090918000204 |
Mailing Address | Practice Location Address |
---|---|
Ms Mary A Larocque, MSW LCSW 7311a W Jefferson Blvd, Fort Wayne, IN 46804-6237 Ph: (260) 471-8033 | Ms Mary A Larocque, MSW LCSW 7806 W Jefferson Blvd Ste C, Fort Wayne, IN 46804-4180 Ph: (260) 203-4188 |
Alia Osborn, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6526 Hillsboro Ln, Fort Wayne, IN 46835 Phone: 260-494-2205 | |
Nicholas Todoran, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1909 Carew St, Fort Wayne, IN 46805 Phone: 260-481-2800 Fax: 260-969-8442 | |
Jeri Ann Forrest, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1818 Carew St, Suite 230, Fort Wayne, IN 46805 Phone: 260-373-8000 Fax: 260-373-8003 | |
Rikki Lynn Treesh, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4918 Canterbury Dr, Fort Wayne, IN 46835 Phone: 260-241-6191 | |
Ms. Yvonne Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3262 Mallard Cove Ln, Fort Wayne, IN 46804 Phone: 260-580-8508 Fax: 260-755-1451 | |
Deborah Louise Amick, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12333 Southampton Dr, Fort Wayne, IN 46814 Phone: 260-672-0491 | |
Scott Kruse, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2121 Lake Ave, Fort Wayne, IN 46805 Phone: 260-426-5431 Fax: 260-421-1029 |