Ms Lisa Kaye La Du, MSW, LISW | |
207d Colegate Dr, Marietta, OH 45750 | |
(740) 376-0930 | |
(740) 376-0933 |
Full Name | Ms Lisa Kaye La Du |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 207d Colegate Dr, Marietta, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366479784 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | I0005092 (Ohio) | Primary |
Entity Name | L & P Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942289301 PECOS PAC ID: 7618991373 Enrollment ID: O20060120000296 |
Entity Name | Hopewell Health Centers Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699010348 PECOS PAC ID: 9234049990 Enrollment ID: O20110209000712 |
Mailing Address | Practice Location Address |
---|---|
Ms Lisa Kaye La Du, MSW, LISW 207d Colegate Dr, Marietta, OH 45750-2363 Ph: (740) 376-0930 | Ms Lisa Kaye La Du, MSW, LISW 207d Colegate Dr, Marietta, OH 45750 Ph: (740) 376-0930 |
Mrs. Ella Tullius, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 207d Colegate Dr, Marietta, OH 45750 Phone: 740-376-0930 Fax: 740-376-0933 | |
Jamie Michelle Wells, LISW-S Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 210 N 7th St Ste 200, Marietta, OH 45750 Phone: 740-374-6338 Fax: 740-374-6066 | |
Ms. Debra Ellen Kosko, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 118 Putnam St, Marietta, OH 45750 Phone: 740-374-6989 | |
Ms. Rosemary Lou Holderman, LSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 118 Putnam St, Marietta, OH 45750 Phone: 740-374-6989 | |
Erin A Donofrio, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 207d Colegate Dr, Marietta, OH 45750 Phone: 740-376-0930 | |
Dallas Victor Phelps, MSW ICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 Putnam Street, Suite 410, Marietta, OH 45750 Phone: 740-525-9474 Fax: 740-678-2698 |