Ms Madeline Korth, LISW | |
12041 Ravenna Rd, Chardon, OH 44024-7008 | |
(440) 286-7154 | |
Not Available |
Full Name | Ms Madeline Korth |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 12041 Ravenna Rd, Chardon, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598279994 | NPI | - | NPPES |
0362636 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | I.2103199 (Ohio) | Primary |
Entity Name | Cleveland Sex & Intimacy Counseling |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982203246 PECOS PAC ID: 5890196968 Enrollment ID: O20210625002716 |
Mailing Address | Practice Location Address |
---|---|
Ms Madeline Korth, LISW 3500 Lorain Ave, Ste 301, Cleveland, OH 44113-3726 Ph: (216) 250-1607 | Ms Madeline Korth, LISW 12041 Ravenna Rd, Chardon, OH 44024-7008 Ph: (440) 286-7154 |
Lauren Anne Plott, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 13300 Aquilla Rd, Chardon, OH 44024 Phone: 440-279-2096 | |
Ms. Jennifer G Lacortiglia, LISW S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11575 Lower Chelsea Dr, Chardon, OH 44024 Phone: 440-212-4278 | |
Latia E Phillips-bey, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 695 South St Ste 6, Chardon, OH 44024 Phone: 216-970-7972 | |
Rebecca Petrey, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 695 South St Ste 6, Chardon, OH 44024 Phone: 440-286-1553 | |
Miss Lyle J. Morris, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 12557 Ravenwood Dr, Chardon, OH 44024 Phone: 440-285-3568 | |
Brooke-marie Noscal, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 695 South St Ste 6, Chardon, OH 44024 Phone: 440-286-1553 | |
Amanda Marie Love, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 12557 Ravenwood Dr, Chardon, OH 44024 Phone: 440-285-3568 Fax: 440-285-4552 |