Brenda J. Stone Llc | |
10617 Stoneham Dr Powell OH 43065-7454 | |
(614) 832-3408 | |
Not Available |
Full Name | Brenda J. Stone Llc |
---|---|
Speciality | Social Worker |
Location | 10617 Stoneham Dr, Powell, Ohio |
Authorized Official Name and Position | Brenda Joy Stone (CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 6148323408 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Brenda J. Stone Llc 10617 Stoneham Dr Powell OH 43065-7454 Ph: (614) 832-3408 | Brenda J. Stone Llc 10617 Stoneham Dr Powell OH 43065-7454 Ph: (614) 832-3408 |
NPI Number | 1992416929 |
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Provider Enumeration Date | 12/09/2022 |
Last Update Date | 12/09/2022 |
Certification Date | 12/09/2022 |
Medicare PECOS PAC ID | 5294191482 |
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Medicare Enrollment ID | O20230512001946 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992416929 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Brenda Stone |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1144356775 PECOS PAC ID: 5193181394 Enrollment ID: I20230512002328 |
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