| Intreatment, Llp | |
|
5 Lincolnway Ste 2 Valparaiso IN 46383-6722 | |
| (219) 221-4022 | |
| Not Available |
| Full Name | Intreatment, Llp |
|---|---|
| Speciality | Social Worker |
| Location | 5 Lincolnway Ste 2, Valparaiso, Indiana |
| Authorized Official Name and Position | Stephanie Maddex (OWNER) |
| Authorized Official Contact | 2192214022 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Intreatment, Llp 5 Washington St Ste 100 Valparaiso IN 46383-4714 Ph: () - | Intreatment, Llp 5 Lincolnway Ste 2 Valparaiso IN 46383-6722 Ph: (219) 221-4022 |
| NPI Number | 1518421031 |
|---|---|
| Provider Enumeration Date | 01/29/2019 |
| Last Update Date | 11/24/2020 |
| Certification Date | 11/24/2020 |
| Medicare PECOS PAC ID | 3173933090 |
|---|---|
| Medicare Enrollment ID | O20201104002778 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518421031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Paula Lutz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902100993 PECOS PAC ID: 5294915724 Enrollment ID: I20110215000813 |
| Provider Name | Timothy Scott Gobek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730487273 PECOS PAC ID: 4082932488 Enrollment ID: I20150415001444 |
| Provider Name | Stephanie P Maddex |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265657514 PECOS PAC ID: 7416368238 Enrollment ID: I20201228001934 |
| Provider Name | Patricia Grabek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669069357 PECOS PAC ID: 1658786454 Enrollment ID: I20210208002609 |
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