Prof Nancy J Udolph, LISW-S, PCC-S is a
Social Worker - Clinical based in Ashland, Ohio. Prof Nancy J Udolph is licensed to practice in Ohio (license number I0002798) and her current practice location is
19 W Main St, Suite 16, Ashland, Ohio. She can be reached at her office (for appointments etc.) via phone at
(419) 651-7669.
NPI number for Prof Nancy J Udolph is 1689713174 and her current mailing address is 1227 Eastbrook Dr, Ashland, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689713174.
Healthcare Provider's Profile
Full Name | Prof Nancy J Udolph |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 19 W Main St, Ashland, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1689713174
- Provider Enumeration Date: 02/05/2007
- Last Update Date: 12/16/2010
Medical Identifiers
Medical identifiers for Prof Nancy J Udolph such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689713174 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | E0000325 (Ohio) | Secondary |
1041C0700X | Social Worker - Clinical | I0002798 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Prof Nancy J Udolph is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Prof Nancy J Udolph, LISW-S, PCC-S 1227 Eastbrook Dr, Ashland, OH 44805-3415 Ph: (419) 289-5372 | Prof Nancy J Udolph, LISW-S, PCC-S 19 W Main St, Suite 16, Ashland, OH 44805-2282 Ph: (419) 651-7669 |
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