Stefanie L Wagner, LISW | |
3737 Lander Rd, Pepper Pike, OH 44124-5712 | |
(216) 831-2255 | |
(216) 378-3906 |
Full Name | Stefanie L Wagner |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 3737 Lander Rd, Pepper Pike, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245547173 | NPI | - | NPPES |
0268768 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | S.0900884 (Ohio) | Secondary |
1041C0700X | Social Worker - Clinical | I.0900884 (Ohio) | Primary |
Entity Name | Psy-care, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396705349 PECOS PAC ID: 9335136795 Enrollment ID: O20040428000034 |
Mailing Address | Practice Location Address |
---|---|
Stefanie L Wagner, LISW 11801 Buckeye Rd, Cleveland, OH 44120-2620 Ph: (216) 831-2255 | Stefanie L Wagner, LISW 3737 Lander Rd, Pepper Pike, OH 44124-5712 Ph: (216) 831-2255 |
Mrs. Aminah C. T. Brahim-jimenez, LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3737 Lander Rd, Pepper Pike, OH 44124 Phone: 216-831-2255 Fax: 216-378-3906 | |
Jasmine G Jordan, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3737 Lander Rd, Pepper Pike, OH 44124 Phone: 216-831-2255 Fax: 216-378-3906 | |
Kim M Jackson, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3737 Lander Road, Pepper Pike, OH 44124 Phone: 216-831-2255 Fax: 216-378-3906 | |
Mrs. Tracey Roman Mckiernan, LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3737 Lander Rd, Pepper Pike, OH 44124 Phone: 216-831-2255 Fax: 216-831-0638 | |
Mansi P Ng, LISW-SUPV Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3737 Lander Rd, Pepper Pike, OH 44124 Phone: 216-831-2255 Fax: 216-378-3906 | |
Aria B Honvou, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3737 Lander Road, Pepper Pike, OH 44124 Phone: 216-831-2255 Fax: 216-378-3906 | |
Ms. Whitney C Jones, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3737 Lander Rd, Pepper Pike, OH 44124 Phone: 216-831-2255 |