| Family Matters Institute, Inc. | |
|
5825 Broadway Suite D Merrillville IN 46410-2687 | |
| (219) 980-4330 | |
| (219) 980-9119 |
| Full Name | Family Matters Institute, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 5825 Broadway, Merrillville, Indiana |
| Authorized Official Name and Position | Geneva L. Osawe (DIRECTOR) |
| Authorized Official Contact | 2199804330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Matters Institute, Inc. 5825 Broadway Suite D Merrillville IN 46410-2687 Ph: (219) 980-4330 | Family Matters Institute, Inc. 5825 Broadway Suite D Merrillville IN 46410-2687 Ph: (219) 980-4330 |
| NPI Number | 1437230745 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4486063245 |
|---|---|
| Medicare Enrollment ID | O20210506002028 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437230745 | NPI | - | NPPES |
| 9001137 | Other | IN | BLUE CROSS & SHIELD IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34000001 (Indiana) | Primary |
| Provider Name | Geneva Osawe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861686701 PECOS PAC ID: 1557770310 Enrollment ID: I20210506002191 |
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