Mr Claud Randall Schrock, LMHC | |
1317 15th St Se, Demotte, IN 46310-9393 | |
(219) 477-5646 | |
(219) 728-4765 |
Full Name | Mr Claud Randall Schrock |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 1317 15th St Se, Demotte, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609931062 | NPI | - | NPPES |
11419574 | Other | CAQH CREDENTIALING | |
300060332 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 39000671A (Indiana) | Primary |
Entity Name | Family Concern Counseling Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548352743 PECOS PAC ID: 2365443041 Enrollment ID: O20160105001361 |
Mailing Address | Practice Location Address |
---|---|
Mr Claud Randall Schrock, LMHC 2004 Valparaiso St, Valparaiso, IN 46383-3138 Ph: (219) 477-5646 | Mr Claud Randall Schrock, LMHC 1317 15th St Se, Demotte, IN 46310-9393 Ph: (219) 477-5646 |
Rose Wierzba, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1424 8th St Se, Demotte, IN 46310 Phone: 219-964-3773 | |
Natalie Haines Cohen, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10254 N 583 E, Demotte, IN 46310 Phone: 219-775-0384 | |
Jennifer L Mccloskey-styka, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 401 15th St Se Ste 6, Demotte, IN 46310 Phone: 219-779-8123 |