| Ms Jennifer Lynn Poling, LISW, LICDC | |
|
45875 Bell School Rd Ste B, East Liverpool, OH 43920-8728 | |
| (330) 397-6007 | |
| (234) 254-5655 |
| Full Name | Ms Jennifer Lynn Poling |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 45875 Bell School Rd Ste B, East Liverpool, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629563226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I.2405091 (Ohio) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.162101 (Ohio) | Secondary |
| Entity Name | Open Water Counseling And Recovery Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932747888 PECOS PAC ID: 8527487750 Enrollment ID: O20201007001578 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jennifer Lynn Poling, LISW, LICDC 45 N Canfield Niles Rd, Austintown, OH 44515-2343 Ph: (330) 330-8777 | Ms Jennifer Lynn Poling, LISW, LICDC 45875 Bell School Rd Ste B, East Liverpool, OH 43920-8728 Ph: (330) 397-6007 |
Mrs. Jill Lorene Campbell, LSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 16362 Park Way, East Liverpool, OH 43920 Phone: 330-506-8769 | |
Cassandra Wylie, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 45875 Bell School Rd Ste B, East Liverpool, OH 43920 Phone: 330-397-6007 Fax: 234-254-5655 | |
Robert Anthony Sanchez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 45875 Bell School Rd, Suite B, East Liverpool, OH 43920 Phone: 330-797-4050 | |
Mrs. Cassie Lynn Direnzo, M.S.W., L.I.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16239 Saint Clair Ave, Pathway Counseling Center, Llc, East Liverpool, OH 43920 Phone: 330-386-4008 | |
Barbara Anne Marsch, MSW, LISW-S Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 45875 Bell School Rd Ste B, East Liverpool, OH 43920 Phone: 330-397-6007 Fax: 234-254-5655 | |
Kim Steele, LPCC-S,LICDC-CS,LSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 45875 Bell School Rd Ste B, East Liverpool, OH 43920 Phone: 330-397-6007 Fax: 234-254-5655 |