Theresa O Wilson, LISW-S, SAP | |
130 1st St Nw, Massillon, OH 44647-5452 | |
(330) 833-0234 | |
(330) 837-7705 |
Full Name | Theresa O Wilson |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 130 1st St Nw, Massillon, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821362286 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | I.1000025-SUPV (Ohio) | Primary |
Entity Name | Commquest Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730168311 PECOS PAC ID: 9335110824 Enrollment ID: O20040805001641 |
Mailing Address | Practice Location Address |
---|---|
Theresa O Wilson, LISW-S, SAP 625 Cleveland Ave Nw, Canton, OH 44702-1805 Ph: (330) 455-0374 | Theresa O Wilson, LISW-S, SAP 130 1st St Nw, Massillon, OH 44647-5452 Ph: (330) 833-0234 |
Kathleen Terry, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7317 Portage St Nw, Massillon, OH 44646 Phone: 330-966-1620 | |
Anya L Mack, LISW-S Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1660 Nave Rd Se, Massillon, OH 44646 Phone: 330-837-9411 Fax: 330-837-4603 | |
Ms. Angela Lynn Parson, LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1660 Nave Rd Se, Massillon, OH 44646 Phone: 330-453-8252 Fax: 330-453-6716 | |
Lindsay Dehaas, MSW, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7317 Portage St Nw, Massillon, OH 44646 Phone: 330-966-1620 | |
Heather Christine Armstrong, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3000 Erie St S, Massillon, OH 44646 Phone: 330-833-3135 Fax: 330-833-7327 | |
Eleanor Brooks, MA, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7317 Portage St Nw, Massillon, OH 44646 Phone: 330-966-1620 |