Paula M Dedionisio, LCSW | |
1202 State St, Erie, PA 16501-1914 | |
(814) 454-4530 | |
Not Available |
Full Name | Paula M Dedionisio |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1202 State St, Erie, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104835107 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CW015316 (Pennsylvania) | Secondary |
1041C0700X | Social Worker - Clinical | 085200-1 (New York) | Primary |
Entity Name | Parkside Psychological Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205081221 PECOS PAC ID: 3577990415 Enrollment ID: O20200305000917 |
Mailing Address | Practice Location Address |
---|---|
Paula M Dedionisio, LCSW 8760 Clark Road Ext., Erie, PA 16510 Ph: (814) 866-4506 | Paula M Dedionisio, LCSW 1202 State St, Erie, PA 16501-1914 Ph: (814) 454-4530 |
Kristen A Schenker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1373 W 6th St, Erie, PA 16505 Phone: 814-873-4205 | |
Brent Vargo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2910 State St, Erie, PA 16508 Phone: 814-464-5686 | |
Donna M Snyder, LCSW, CAC DIPLOMATE Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1910 Sassafras St, Suite 100, Erie, PA 16502 Phone: 814-452-5490 Fax: 814-452-7610 | |
Ms. Antoinette Louise Baker-mulford, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5100 Peach St, Erie, PA 16509 Phone: 814-866-4500 Fax: 814-866-2677 | |
Mrs. Julia Rose Copen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1910 Sassafras St, Erie, PA 16502 Phone: 814-452-5843 Fax: 814-452-7610 | |
Ann Hippely, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5100 Peach St, Erie, PA 16509 Phone: 814-866-4500 | |
Mr. David T. Urban, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 956 W 38th St, Erie, PA 16508 Phone: 814-864-9719 Fax: 814-866-1171 |