| Ms Loretta (lorie) Katherine Mullen, LISW-S | |
|
40 12th St Ste 222, Wheeling, WV 26003-3279 | |
| (740) 296-3633 | |
| Not Available |
| Full Name | Ms Loretta (lorie) Katherine Mullen |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 40 12th St Ste 222, Wheeling, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760815898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I 1000220 SUPV (Ohio) | Primary |
| 1041C0700X | Social Worker - Clinical | DP00944040 (West Virginia) | Secondary |
| Entity Name | Southeast Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932169497 PECOS PAC ID: 8426014853 Enrollment ID: O20041207000632 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Loretta (lorie) Katherine Mullen, LISW-S 55380 Wabash St, Bridgeport, OH 43912-1211 Ph: (740) 296-3633 | Ms Loretta (lorie) Katherine Mullen, LISW-S 40 12th St Ste 222, Wheeling, WV 26003-3279 Ph: (740) 296-3633 |
Sarestelle Delong, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2000 Eoff St, Wheeling, WV 26003 Phone: 304-234-1850 Fax: 304-234-8159 | |
Robert T Bowman, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2101 Jacob St Ste 501, Wheeling, WV 26003 Phone: 304-234-8517 Fax: 304-234-8745 | |
Maura Kreitzer, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2606 National Rd, Wheeling, WV 26003 Phone: 304-242-7060 | |
Ms. Jill O. Freeman, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2121 Eoff St, Wheeling, WV 26003 Phone: 304-234-3570 Fax: 304-234-3596 | |
Valery Lynne Staskey, TSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1100 Main St Ste 104, Wheeling, WV 26003 Phone: 304-460-5123 Fax: 800-734-8498 | |
Sarah Aspenleiter, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1025 Main St Ste 502, Wheeling, WV 26003 Phone: 304-233-2020 | |
Judith Moolten, CSW, PHDC, ST Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 20 Walnut Ave, Wheeling, WV 26003 Phone: 304-232-0230 Fax: 866-519-8020 |