| Mrs Renee Fortune, | |
|
2600 W 9th St, Chester, PA 19013-2040 | |
| (610) 497-7387 | |
| (610) 497-7588 |
| Full Name | Mrs Renee Fortune |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 2600 W 9th St, Chester, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649522004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20230504000064 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Renee Fortune, 2600 W 9th St, Chester, PA 19013-2040 Ph: (610) 497-7387 | Mrs Renee Fortune, 2600 W 9th St, Chester, PA 19013-2040 Ph: (610) 497-7387 |
Mrs. Jessica Anne Gilpert, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2600 W 9th St, Chester, PA 19013 Phone: 610-497-7691 | |
Beth D Gamburg, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1450 Edgmont Ave, Chester, PA 19013 Phone: 610-499-1780 Fax: 610-499-7190 | |
Mr. Jucontee Thomas Woewiyu Ii, B.S. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2600 W 9th St, Chester, PA 19013 Phone: 610-497-7394 | |
Risa Shibata, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 301 W 15th St, Chester, PA 19013 Phone: 610-619-8600 | |
Mrs. Suzanne M Riordan, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2600 W 9th St # 3sw, Chester, PA 19013 Phone: 610-565-6029 | |
Mr. Michael Francis Tiedeman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 151 W 15th St, Chester, PA 19013 Phone: 484-904-3507 Fax: 610-874-8927 | |
Taqiyya Orr, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2600 W 9th St, Chester, PA 19013 Phone: 610-494-0700 |