Jill R Sokolnicki, MS, LPCC-S | |
3095 Kettering Blvd, Moraine, OH 45439-1983 | |
(937) 913-1912 | |
(937) 913-1913 |
Full Name | Jill R Sokolnicki |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 3095 Kettering Blvd, Moraine, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760527626 | NPI | - | NPPES |
E.0008166 | Other | OH | STATE OF OHIO SUPERVISING PROFESSIONAL CLINICAL COUNSELOR LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | E.0008166 (Ohio) | Primary |
Entity Name | Mental Health Services For Clark Co Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982695706 PECOS PAC ID: 7810801032 Enrollment ID: O20040108000709 |
Mailing Address | Practice Location Address |
---|---|
Jill R Sokolnicki, MS, LPCC-S Po Box 4503, 1111 E. 5th St., Dayton, OH 45401-4503 Ph: (937) 231-6581 | Jill R Sokolnicki, MS, LPCC-S 3095 Kettering Blvd, Moraine, OH 45439-1983 Ph: (937) 913-1912 |
Ms. Bonnie R Parish, LISW-W/BCD Counselor Medicare: Accepting Medicare Assignments Practice Location: 2211 Arbor Blvd, Moraine, OH 45439 Phone: 937-222-9481 Fax: 937-222-3710 | |
Laneisha Tiant Gardner, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Daruma Pkwy, Moraine, OH 45439 Phone: 937-262-3500 Fax: 937-262-5902 | |
Amita Lee Pujara, M.S., PC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-534-1359 Fax: 937-534-1347 | |
Mrs. Karla Renee Tolbert, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 513-604-8063 | |
Mrs. Jennifer Louise Pettit, M. ED., LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300 | |
Hannah Blair, MSW, LSW, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300 | |
Mrs. Michelle L Schaffer, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300 Fax: 937-534-1347 |