Roxanne M King, LISW | |
335 Buckeye Blvd, Port Clinton, OH 43452-1423 | |
(419) 734-2942 | |
(419) 734-4922 |
Full Name | Roxanne M King |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 335 Buckeye Blvd, Port Clinton, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568992444 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | I.2102909 (Ohio) | Primary |
Entity Name | Firelands Regional Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801884655 PECOS PAC ID: 6103734645 Enrollment ID: O20040415000236 |
Mailing Address | Practice Location Address |
---|---|
Roxanne M King, LISW 1925 Hayes Ave, Sandusky, OH 44870-4737 Ph: (419) 557-5177 | Roxanne M King, LISW 335 Buckeye Blvd, Port Clinton, OH 43452-1423 Ph: (419) 734-2942 |
Laura Ann Miller, LISWS Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 335 Buckeye Blvd, Port Clinton, OH 43452 Phone: 419-734-2942 Fax: 419-734-4922 | |
Tabitha Lee Mowel, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 335 Buckeye Blvd, Port Clinton, OH 43452 Phone: 419-734-2942 Fax: 419-734-4922 | |
Mrs. Wendy Ellen Mccarthy, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 335 Buckeye Blvd, Port Clinton, OH 43452 Phone: 419-734-2942 | |
Heather J Mccool, LISWS Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 335 Buckeye Blvd, Port Clinton, OH 43452 Phone: 419-734-2942 | |
Justa Smith, DSW, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 126 E Perry St, Port Clinton, OH 43452 Phone: 419-865-5690 Fax: 419-865-5691 |