Shirley Ann Middleton, LICDC, LSW | |
311 Martin Luther King Dr E, Cincinnati, OH 45219-2581 | |
(513) 475-5319 | |
(513) 332-0367 |
Full Name | Shirley Ann Middleton |
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Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 311 Martin Luther King Dr E, Cincinnati, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497118863 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.923255 (* (Not Available)) | Primary |
1041C0700X | Social Worker - Clinical | S-0013981 (Ohio) | Secondary |
Entity Name | The Crossroads Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265496590 PECOS PAC ID: 4284057746 Enrollment ID: O20200813002153 |
Mailing Address | Practice Location Address |
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Shirley Ann Middleton, LICDC, LSW 311 Martin Luther King Dr E, Cincinnati, OH 45219-2581 Ph: (513) 475-5319 | Shirley Ann Middleton, LICDC, LSW 311 Martin Luther King Dr E, Cincinnati, OH 45219-2581 Ph: (513) 475-5319 |
Mark Pruden, L.P.C.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 42 Calhoun St, Cincinnati, OH 45219 Phone: 513-861-6543 Fax: 513-381-0016 | |
Mr. Brian Spears, MA, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 7265 Kenwood Rd Ste 321, Cincinnati, OH 45236 Phone: 513-657-8718 | |
Jaime Surber, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11590 Century Blvd Ste 116, Cincinnati, OH 45246 Phone: 513-771-7239 Fax: 513-771-3878 | |
Miss Sarah Marie Clark, COUNSELOR TRAINEE Counselor Medicare: Not Enrolled in Medicare Practice Location: 5050 Madison Rd, Cincinnati, OH 45227 Phone: 513-272-2800 | |
Jennifer Mcniese, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3333 Burnet Ave, Ml 6019, Cincinnati, OH 45229 Phone: 513-636-4124 Fax: 513-636-4283 | |
Kara Ann Meyer, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4030 Mount Carmel Tobasco Rd, Suite 209, Cincinnati, OH 45255 Phone: 513-718-0886 | |
Wendy M Saunders, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 6852 E Farm Acres Dr, Cincinnati, OH 45237 Phone: 513-476-2777 |