Taylor Dillon, LISW | |
348 Main St, Huron, OH 44839-1610 | |
(419) 366-3533 | |
Not Available |
Full Name | Taylor Dillon |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 348 Main St, 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 |
---|---|---|---|
1245610591 | NPI | - | NPPES |
0261888 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | I.1801039 (Ohio) | Primary |
104100000X | Social Worker | S1440457 (Ohio) | Secondary |
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 |
---|---|
Taylor Dillon, LISW 348 Main St, Huron, OH 44839-1610 Ph: (419) 366-3533 | Taylor Dillon, LISW 348 Main St, Huron, OH 44839-1610 Ph: (419) 366-3533 |
Susan Kay Wilson, LISW-S, IMFT Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 919 Superior Dr, Huron, OH 44839 Phone: 440-897-0950 | |
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 |