Ms Jennifer Lynn Motz, LCSW | |
603 N Wayne St, Angola, IN 46703-1081 | |
(260) 668-8797 | |
(260) 665-1620 |
Full Name | Ms Jennifer Lynn Motz |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 603 N Wayne St, Angola, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679691380 | NPI | - | NPPES |
200846380 A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 34005718A (Indiana) | Primary |
101YM0800X | Counselor - Mental Health | 34005718A (Indiana) | Secondary |
Entity Name | Northeastern Center, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720140908 PECOS PAC ID: 6709795636 Enrollment ID: O20040605000289 |
Mailing Address | Practice Location Address |
---|---|
Ms Jennifer Lynn Motz, LCSW Po Box 98, 603 N. Wayne Street, Angola, IN 46703-0098 Ph: (260) 668-8797 | Ms Jennifer Lynn Motz, LCSW 603 N Wayne St, Angola, IN 46703-1081 Ph: (260) 668-8797 |
Dr. Thomas Edwin Smith, PH.D. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2955 W Orland Rd, Angola, IN 46703 Phone: 260-833-4976 Fax: 260-833-1885 | |
Mr. Richard Donovan Jr., LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 603 N Wayne St, Angola, IN 46703 Phone: 260-233-0780 Fax: 260-665-3026 | |
Andrea Marie Strayer, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1235 W 100 N, Angola, IN 46703 Phone: 419-230-1484 | |
Ms. Cheryl Lynn Gay, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 Hoosier Dr, Suite E, Angola, IN 46703 Phone: 260-665-9494 Fax: 260-665-9496 | |
Mrs. Suzanne K Sprague, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 200 Hoosier Dr, Suite E, Angola, IN 46703 Phone: 260-665-9494 Fax: 260-665-9496 | |
Elizabeth A Andres, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3265 Intertech Dr, Angola, IN 46703 Phone: 260-665-9494 Fax: 260-665-9496 |