Nicole Darosh, | |
1021 Centre Tpke, Orwigsburg, PA 17961-9192 | |
(844) 696-4631 | |
Not Available |
Full Name | Nicole Darosh |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1021 Centre Tpke, Orwigsburg, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174225684 | NPI | - | NPPES |
CW023369 | Other | PA | LCSW LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CW023369 (Pennsylvania) | Primary |
Entity Name | Mind Matters Coaching, Counseling, & Psychological Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295187425 PECOS PAC ID: 0648554303 Enrollment ID: O20170413001952 |
Mailing Address | Practice Location Address |
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Nicole Darosh, 67 Graeff St, Cressona, PA 17929-1501 Ph: () - | Nicole Darosh, 1021 Centre Tpke, Orwigsburg, PA 17961-9192 Ph: (844) 696-4631 |
Carol F Schank, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 340 S Liberty St, Orwigsburg, PA 17961 Phone: 570-366-5096 Fax: 570-366-8755 | |
Mrs. Beverly Weikel, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 340 S Liberty St, Orwigsburg, PA 17961 Phone: 570-366-5096 Fax: 570-366-8755 | |
Ms. Pamela Jane Witman, M.ED., LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 340 S Liberty St, Orwigsburg, PA 17961 Phone: 570-366-5096 Fax: 570-366-8755 |