Sandy Imanse, LMSW | |
1411 Lincolnway W, Mishawaka, IN 46544-1626 | |
(574) 255-5669 | |
(574) 537-2652 |
Full Name | Sandy Imanse |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 38 Years |
Location | 1411 Lincolnway W, Mishawaka, Indiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023050382 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 6801018351 (Michigan) | Secondary |
101YM0800X | Counselor - Mental Health | 33002493A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Otis R Bowen Center For Human Services Inc | 7618950965 | 31 |
Entity Name | The Otis R Bowen Center For Human Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639172810 PECOS PAC ID: 7618950965 Enrollment ID: O20050404000853 |
Mailing Address | Practice Location Address |
---|---|
Sandy Imanse, LMSW Po Box 809, Goshen, IN 46527-0809 Ph: (574) 533-1234 | Sandy Imanse, LMSW 1411 Lincolnway W, Mishawaka, IN 46544-1626 Ph: (574) 255-5669 |
Krista Myers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4201 Lincolnway E, Mishawaka, IN 46544 Phone: 574-807-6009 | |
Melissa Boyll, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1411 Lincolnway W, Mishawaka, IN 46544 Phone: 574-533-1234 Fax: 574-537-2652 | |
Seth Curtis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 113 Lincolnway E, Mishawaka, IN 46544 Phone: 574-255-4976 Fax: 574-255-1882 | |
Carolyn Logue, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1411 Lincolnway W, Mishawaka, IN 46544 Phone: 574-533-1234 Fax: 574-537-2652 | |
Dennis A Fehr, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1411 Lincolnway W, Mishawaka, IN 46544 Phone: 574-533-1234 Fax: 574-537-2652 | |
Rozi P Wax, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 113 Lincoln Way East, Mishawaka, IN 46544 Phone: 574-255-4976 Fax: 574-255-1882 |