Richard Jack Foss, LSW, CPRS is a
Social Worker based in Mentor, Ohio. Richard Jack Foss is licensed to practice in Ohio (license number S.0029313) and his current practice location is
7232 Justin Way, Mentor, Ohio. He can be reached at his office (for appointments etc.) via phone at
(440) 578-8200.
NPI number for Richard Jack Foss is 1205340718 and his current mailing address is 7232 Justin Way, Mentor, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1205340718.
Healthcare Provider's Profile
Full Name | Richard Jack Foss |
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Gender | Male |
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Speciality | Social Worker |
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Location | 7232 Justin Way, Mentor, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1205340718
- Provider Enumeration Date: 11/20/2017
- Last Update Date: 08/17/2021
Medical Identifiers
Medical identifiers for Richard Jack Foss such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205340718 | NPI | - | NPPES |
0278787 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
175T00000X | Peer Specialist | 000240 (Ohio) | Secondary |
104100000X | Social Worker | S.0029313 (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. Richard Jack Foss 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 |
Richard Jack Foss, LSW, CPRS 7232 Justin Way, Mentor, OH 44060-4881 Ph: (440) 578-8200 | Richard Jack Foss, LSW, CPRS 7232 Justin Way, Mentor, OH 44060-4881 Ph: (440) 578-8200 |
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