Stanley J Ladowicz, LCSW | |
24 Joliet St, Dyer, IN 46311-1705 | |
(219) 322-5747 | |
(219) 864-2282 |
Full Name | Stanley J Ladowicz |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 24 Joliet St, Dyer, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316948342 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 34001847A (Indiana) | Primary |
Entity Name | Southlake Community Mental Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821081290 PECOS PAC ID: 5991600355 Enrollment ID: O20031231000117 |
Entity Name | Franciscan Physician Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
Mailing Address | Practice Location Address |
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Stanley J Ladowicz, LCSW Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Stanley J Ladowicz, LCSW 24 Joliet St, Dyer, IN 46311-1705 Ph: (219) 322-5747 |
Brian Wortel, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 Main St, Dyer, IN 46311 Phone: 219-367-2661 | |
Stephen K Kimani, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 202 Joliet St, Suite 200 B, Dyer, IN 46311 Phone: 219-934-6410 Fax: 219-934-6420 | |
Miss Susan M Meiller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-322-5747 Fax: 219-864-2282 | |
Joseph E Chamberlain, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-322-5747 Fax: 219-864-2282 | |
Joyce A White, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-864-2160 Fax: 219-864-2599 | |
Peggy A Quinn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-322-5747 Fax: 219-864-2282 | |
Rachael Beth Waldman, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1212 Flagstone Dr, Dyer, IN 46311 Phone: 847-875-8097 |