Ms Cynthia Sickles, LSW, PCC | |
68353 Bannock Rd, Southeast Inc, Saint Clairsville, OH 43950-9736 | |
(740) 695-9344 | |
Not Available |
Full Name | Ms Cynthia Sickles |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 68353 Bannock Rd, Saint Clairsville, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750707758 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | E 0016934 (Ohio) | Primary |
104100000X | Social Worker | S 0016934 (Ohio) | Secondary |
Entity Name | Southeast Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932169497 PECOS PAC ID: 8426014853 Enrollment ID: O20041207000632 |
Mailing Address | Practice Location Address |
---|---|
Ms Cynthia Sickles, LSW, PCC 68353 Bannock Rd, Southeast Inc, Saint Clairsville, OH 43950-9736 Ph: (740) 695-9344 | Ms Cynthia Sickles, LSW, PCC 68353 Bannock Rd, Southeast Inc, Saint Clairsville, OH 43950-9736 Ph: (740) 695-9344 |
Jennifer Cunningham, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 255 W Main St, Saint Clairsville, OH 43950 Phone: 740-695-9447 | |
Heather Hart Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 1/2 N Marietta St, Saint Clairsville, OH 43950 Phone: 740-695-5441 Fax: 740-695-6747 | |
Angela Lynn Freeman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 255 W Main St, Saint Clairsville, OH 43950 Phone: 740-695-9447 | |
Hunter Miller, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 255 W Main St, Saint Clairsville, OH 43950 Phone: 740-695-9447 | |
Haley Jo Ault, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 255 W Main St, Saint Clairsville, OH 43950 Phone: 740-695-9447 | |
Courtney Fiutem, LISW-S Counselor Medicare: Medicare Enrolled Practice Location: 112 Coroline Dr, Saint Clairsville, OH 43950 Phone: 740-238-1276 | |
Ryan Patrick Schaefer, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 255 W Main St, Saint Clairsville, OH 43950 Phone: 740-695-9447 Fax: 740-695-8895 |