| Dawn Schmeltz Lcsw Lcac Llc | |
|
2410 Grape Rd Ste 1 Mishawaka IN 46545-3015 | |
| (574) 243-9370 | |
| (574) 243-9375 |
| Full Name | Dawn Schmeltz Lcsw Lcac Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2410 Grape Rd Ste 1, Mishawaka, Indiana |
| Authorized Official Name and Position | Dawn Schmeltz (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 5742439370 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dawn Schmeltz Lcsw Lcac Llc 2410 Grape Rd Ste 1 Mishawaka IN 46545-3015 Ph: (574) 243-9370 | Dawn Schmeltz Lcsw Lcac Llc 2410 Grape Rd Ste 1 Mishawaka IN 46545-3015 Ph: (574) 243-9370 |
| NPI Number | 1649808759 |
|---|---|
| Provider Enumeration Date | 04/01/2020 |
| Last Update Date | 04/01/2020 |
| Certification Date | 04/01/2020 |
| Medicare PECOS PAC ID | 7315377165 |
|---|---|
| Medicare Enrollment ID | O20200420001689 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649808759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Dawn E Schmeltz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578551495 PECOS PAC ID: 5597727347 Enrollment ID: I20050622000424 |
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