Roberta Marie Mosher, LCSW | |
3450 Seaman Rd, Oregon, OH 43616-2497 | |
(727) 205-2077 | |
Not Available |
Full Name | Roberta Marie Mosher |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 3450 Seaman Rd, Oregon, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871223917 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | I2203526 (Ohio) | Primary |
Entity Name | Geriatric Psychiatric Services Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467492173 PECOS PAC ID: 6204837388 Enrollment ID: O20101028000065 |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220604000326 |
Entity Name | The Wave International Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528748613 PECOS PAC ID: 9436563376 Enrollment ID: O20221209002048 |
Mailing Address | Practice Location Address |
---|---|
Roberta Marie Mosher, LCSW 6734 Pine Creek Dr, Toledo, OH 43617-1272 Ph: (419) 318-5286 | Roberta Marie Mosher, LCSW 3450 Seaman Rd, Oregon, OH 43616-2497 Ph: (727) 205-2077 |
Jennifer Wolfe, LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3636 Starr Ave, Oregon, OH 43616 Phone: 419-913-6373 | |
Michelle Coutcher, LISW-S Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2739 Navarre Ave Ste 302, Oregon, OH 43616 Phone: 567-298-4640 Fax: 567-298-4641 |