| Catholic Social Services Of The Miami Valley | |
|
1046 Brown Street Dayton OH 45409-1317 | |
| (937) 223-7217 | |
| (937) 395-0607 |
| Full Name | Catholic Social Services Of The Miami Valley |
|---|---|
| Speciality | Counselor |
| Location | 1046 Brown Street, Dayton, Ohio |
| Authorized Official Name and Position | Shelia W Davis (OFFICE MANAGER) |
| Authorized Official Contact | 9372961007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Catholic Social Services Of The Miami Valley 922 W Riverview Ave Dayton OH 45402-6424 Ph: (937) 296-1007 | Catholic Social Services Of The Miami Valley 1046 Brown Street Dayton OH 45409-1317 Ph: (937) 223-7217 |
| NPI Number | 1619957362 |
|---|---|
| Provider Enumeration Date | 01/19/2006 |
| Last Update Date | 01/29/2015 |
| Medicare PECOS PAC ID | 6901834498 |
|---|---|
| Medicare Enrollment ID | O20050727000000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619957362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Cheryl Lobbestael Griffin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245200542 PECOS PAC ID: 5991712804 Enrollment ID: I20060320000001 |
| Provider Name | Denetta V Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295024750 PECOS PAC ID: 6507236874 Enrollment ID: I20221230002172 |
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