Nancy Distefano, LISW-S | |
7230 Schooners Cv, Concord Twp, OH 44077-9011 | |
(440) 867-3564 | |
Not Available |
Full Name | Nancy Distefano |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 7230 Schooners Cv, Concord Twp, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699124198 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 1101608 (Ohio) | Primary |
Entity Name | Psycho Social Therapies,ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750335261 PECOS PAC ID: 9234165424 Enrollment ID: O20051208000882 |
Entity Name | Cornerstone Behavioral Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700407517 PECOS PAC ID: 4385000587 Enrollment ID: O20230512001969 |
Mailing Address | Practice Location Address |
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Nancy Distefano, LISW-S 7230 Schooners Cv, Concord Twp, OH 44077-9011 Ph: (440) 867-3564 | Nancy Distefano, LISW-S 7230 Schooners Cv, Concord Twp, OH 44077-9011 Ph: (440) 867-3564 |
Pamela Brunner, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7590 Auburn Rd, Concord Twp, OH 44077 Phone: 440-354-1104 Fax: 440-354-1898 | |
Jeffrey Land, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7048 Bentley Pl, Concord Twp, OH 44077 Phone: 440-352-1535 |