Susan Kay Wilson, LISW-S, IMFT | |
919 Superior Dr, Huron, OH 44839-1454 | |
(440) 897-0950 | |
Not Available |
Full Name | Susan Kay Wilson |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 919 Superior Dr, Huron, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114466372 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | I7678 (Ohio) | Primary |
106H00000X | Marriage & Family Therapist | F111 (Ohio) | Secondary |
Entity Name | Family Life Counseling & Psychiatric Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598862641 PECOS PAC ID: 0749353464 Enrollment ID: O20080714000402 |
Mailing Address | Practice Location Address |
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Susan Kay Wilson, LISW-S, IMFT 919 Superior Dr, Huron, OH 44839-1454 Ph: (440) 897-0950 | Susan Kay Wilson, LISW-S, IMFT 919 Superior Dr, Huron, OH 44839-1454 Ph: (440) 897-0950 |
Taylor Dillon, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 348 Main St, Huron, OH 44839 Phone: 419-366-3533 | |
Allison D Ontko, LISW-S Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 619 Berlin Rd, Huron, OH 44839 Phone: 419-504-1485 | |
Mrs. Nycola Ann Bouck, MSW LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 348 Main St, Huron, OH 44839 Phone: 419-359-0307 |