Katie Castello Counseling | |
399 Venture Dr Ste D Lewis Center OH 43035-9520 | |
(614) 905-2421 | |
(614) 259-6061 |
Full Name | Katie Castello Counseling |
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Speciality | Social Worker |
Location | 399 Venture Dr Ste D, Lewis Center, Ohio |
Authorized Official Name and Position | Kathryn Michelle Castello (OFFICE MANAGER) |
Authorized Official Contact | 6149052421 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Katie Castello Counseling 399 Venture Dr Ste D Lewis Center OH 43035-9520 Ph: (614) 905-2421 | Katie Castello Counseling 399 Venture Dr Ste D Lewis Center OH 43035-9520 Ph: (614) 905-2421 |
NPI Number | 1891235545 |
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Provider Enumeration Date | 02/28/2017 |
Last Update Date | 08/18/2021 |
Certification Date | 08/18/2021 |
Medicare PECOS PAC ID | 9739463167 |
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Medicare Enrollment ID | O20170303001073 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891235545 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | I. 1201523 (Ohio) | Primary |
Provider Name | Kathryn Michelle Castello |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1831435411 PECOS PAC ID: 4385889898 Enrollment ID: I20130403000293 |
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