Timothy Polakowski, MSW, LISW-S, LMSW | |
314 Louisiana Ave, Perrysburg, OH 43551-1461 | |
(567) 331-8601 | |
Not Available |
Full Name | Timothy Polakowski |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 314 Louisiana Ave, Perrysburg, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871273276 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | I.1502338 (Ohio) | Primary |
Entity Name | Monarch Grief Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073293569 PECOS PAC ID: 1254795909 Enrollment ID: O20230913002160 |
Mailing Address | Practice Location Address |
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Timothy Polakowski, MSW, LISW-S, LMSW 314 Louisiana Ave, Perrysburg, OH 43551-1461 Ph: (567) 331-8601 | Timothy Polakowski, MSW, LISW-S, LMSW 314 Louisiana Ave, Perrysburg, OH 43551-1461 Ph: (567) 331-8601 |
Christina M Clemens, MSSA, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1103 Village Square Dr Ste 100, Perrysburg, OH 43551 Phone: 419-872-3213 Fax: 419-251-3572 | |
Jessica S Datta, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 975 Commerce Dr, Perrysburg, OH 43551 Phone: 419-874-0274 Fax: 419-874-9960 | |
Sarah E Simmons, LSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 885 Commerce Dr, Perrysburg, OH 43551 Phone: 419-931-6261 | |
Maren Simon, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 314 Louisiana Ave, Perrysburg, OH 43551 Phone: 567-331-8601 | |
Elizabeth L. Miller, LSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 30000 E River Rd, Perrysburg, OH 43551 Phone: 419-931-3440 Fax: 419-661-4020 | |
Jennifer Calhoun, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 975 Commerce Dr, Perrysburg, OH 43551 Phone: 419-874-0274 Fax: 419-874-0274 | |
Mrs. Elizabeth Kristen Skaff, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 975 Commerce Dr, Perrysburg, OH 43551 Phone: 419-874-0274 Fax: 419-874-9960 |