Ms Cheryl Max Van Dyke, MSSA | |
680 High St Ste A, Wadsworth, OH 44281-1690 | |
(330) 631-2333 | |
Not Available |
Full Name | Ms Cheryl Max Van Dyke |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 38 Years |
Location | 680 High St Ste A, Wadsworth, Ohio |
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 |
---|---|---|---|
1841314085 | NPI | - | NPPES |
913085 | Other | OH | CLINICAL LICENSE |
I0004177 | Other | OH | CLINICAL LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | I0004177 (Ohio) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wolf Creek Wellness, Llc | 4486076718 | 3 |
Entity Name | Wolf Creek Wellness, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003355090 PECOS PAC ID: 4486076718 Enrollment ID: O20200615002730 |
Mailing Address | Practice Location Address |
---|---|
Ms Cheryl Max Van Dyke, MSSA 680 High St Ste A, Wadsworth, OH 44281-1690 Ph: (330) 631-2333 | Ms Cheryl Max Van Dyke, MSSA 680 High St Ste A, Wadsworth, OH 44281-1690 Ph: (330) 631-2333 |
Jacqueline Storey, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 680 High St Ste A, Wadsworth, OH 44281 Phone: 208-313-4093 | |
Ray Leonard Humpal, ACSW, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 416 College St, Suite A, Wadsworth, OH 44281 Phone: 330-334-1655 | |
Mrs. Carrie A Sellers, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1392 High St Ste 205, Wadsworth, OH 44281 Phone: 330-227-4518 Fax: 855-975-3166 | |
Mr. Lowell M Nofziger, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 102 Main St Ste 302, Wadsworth, OH 44281 Phone: 330-805-6072 | |
Kimberly Rae Patton, LISW-S, LICDC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 140 Wadsworth Rd, Wadsworth, OH 44281 Phone: 440-623-3845 | |
Christine Napier Andrews, MSSA, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 416 College St Ste A, Wadsworth, OH 44281 Phone: 330-334-1655 Fax: 330-334-1655 |