Willard J Frederick, LCSW | |
240 N Tillotson Ave, Muncie, IN 47304-3988 | |
(765) 288-1928 | |
(765) 741-0340 |
Full Name | Willard J Frederick |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 49 Years |
Location | 240 N Tillotson Ave, Muncie, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659323954 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 34001033A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tyrow Consulting Llc | 6608196787 | 9 |
Entity Name | Tyrow Consulting Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710384839 PECOS PAC ID: 6608196787 Enrollment ID: O20150514000289 |
Mailing Address | Practice Location Address |
---|---|
Willard J Frederick, LCSW 3645 N Briarwood Ln, Ste A, Muncie, IN 47304-5337 Ph: (765) 289-5520 | Willard J Frederick, LCSW 240 N Tillotson Ave, Muncie, IN 47304-3988 Ph: (765) 288-1928 |
Amy Louise Huelsenbeck, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 240 N Tillotson Ave, Muncie, IN 47304 Phone: 866-306-2647 | |
Robert N. Coles Jr., LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 240 N Tillotson Ave, Muncie, IN 47304 Phone: 765-288-1928 Fax: 765-741-0340 | |
Samantha Richards, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1200 S Tillotson Opas, Muncie, IN 47304 Phone: 765-288-1790 Fax: 765-212-3497 | |
Bethel L Mckenzie, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 N Tillotson Ave, Muncie, IN 47304 Phone: 765-288-8770 | |
Sheila Kathryn Lachat, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 240 N Tillotson Ave, Muncie, IN 47304 Phone: 765-288-1928 Fax: 765-741-0340 | |
Erin M Barnes, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3620 W White River Blvd, Muncie, IN 47304 Phone: 765-288-1928 Fax: 765-741-0335 | |
Emily A Williamson, MSW,LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3620 W White River Blvd, Muncie, IN 47304 Phone: 765-288-1928 Fax: 765-741-0335 |