Roxane Mongelluzzo, MSW LCSW | |
416 S Pittsburgh St, Connellsville, PA 15425-4003 | |
(724) 626-8420 | |
(724) 628-0898 |
Full Name | Roxane Mongelluzzo |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 416 S Pittsburgh St, Connellsville, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285690891 | NPI | - | NPPES |
115676 | Medicaid | PA | |
628649 | Other | PA | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CW008629L (Pennsylvania) | Primary |
Entity Name | Connellsville Counseling & Psychological Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275844789 PECOS PAC ID: 3274792536 Enrollment ID: O20120307000144 |
Mailing Address | Practice Location Address |
---|---|
Roxane Mongelluzzo, MSW LCSW 416 S Pittsburgh St, Connellsville, PA 15425-4003 Ph: (724) 626-8420 | Roxane Mongelluzzo, MSW LCSW 416 S Pittsburgh St, Connellsville, PA 15425-4003 Ph: (724) 626-8420 |
Mr. James Sullivan Fiesta, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 610 E Crawford Ave, Suite B, Connellsville, PA 15425 Phone: 724-603-2516 Fax: 724-603-2514 | |
Ashley Dawn Brown, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 110 S Arch St, Connellsville, PA 15425 Phone: 724-626-9941 | |
Jasmine Lynn Debeary, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 416 S Pittsburgh St, Connellsville, PA 15425 Phone: 724-626-8420 | |
Ms. Dawn Lorraine Wilhelm, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1051 Morrell Ave, Connellsville, PA 15425 Phone: 724-626-1849 Fax: 724-437-2761 | |
Courtney Brooke Kubovcik, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 615 W Crawford Ave, Connellsville, PA 15425 Phone: 724-603-2657 | |
Ms. Cynthia Sue Artis, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1051 Morrell Ave, Connellsville, PA 15425 Phone: 724-437-0729 Fax: 724-437-2761 |