Thomas J Carder, | |
612 E Bristol St, Elkhart, IN 46514-3479 | |
(574) 266-2050 | |
Not Available |
Full Name | Thomas J Carder |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 612 E Bristol St, Elkhart, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467471466 | NPI | - | NPPES |
000000203078 | Other | IN | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 39000378A (Indiana) | Primary |
Entity Name | Northeastern Center, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720140908 PECOS PAC ID: 6709795636 Enrollment ID: O20040605000289 |
Mailing Address | Practice Location Address |
---|---|
Thomas J Carder, Po Box 965, Elkhart, IN 46515-0965 Ph: (574) 266-2050 | Thomas J Carder, 612 E Bristol St, Elkhart, IN 46514-3479 Ph: (574) 266-2050 |
Steven D Bright, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2600 Oakland Ave, Elkhart, IN 46517 Phone: 574-533-1234 Fax: 574-537-2652 | |
Ronald L Shoemaker, LSCW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2600 Oakland Ave, Elkhart, IN 46517 Phone: 574-533-1234 Fax: 574-537-2652 | |
Angela Gingerich, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1004 Parkway Ave, Suite D, Elkhart, IN 46516 Phone: 574-293-0005 | |
Patricia L Carnegie, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2600 Oakland Ave, Elkhart, IN 46517 Phone: 574-533-1234 Fax: 574-537-2652 | |
Gwendolyn K Preheim-bartel, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2600 Oakland Ave, Elkhart, IN 46517 Phone: 574-533-1234 Fax: 574-537-2652 | |
Mr. Larry L Rupp, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3040a Windsor Ct, Elkhart, IN 46514 Phone: 574-262-1088 Fax: 574-262-9516 | |
Melissa Alvarez, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2710 Turner St Apt A, Elkhart, IN 46517 Phone: 574-747-7024 |