| Lamplight Counseling Services Llc | |
|
4015 Medina Rd Ste 90 Medina OH 44256-5970 | |
| (330) 331-5800 | |
| (330) 331-5805 |
| Full Name | Lamplight Counseling Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4015 Medina Rd Ste 90, Medina, Ohio |
| Authorized Official Name and Position | Bridget S Richard (OWNER) |
| Authorized Official Contact | 3033315800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lamplight Counseling Services Llc Po Box 360823 Strongsville OH 44136-0014 Ph: (330) 331-5800 | Lamplight Counseling Services Llc 4015 Medina Rd Ste 90 Medina OH 44256-5970 Ph: (330) 331-5800 |
| NPI Number | 1992108849 |
|---|---|
| Provider Enumeration Date | 10/07/2014 |
| Last Update Date | 04/28/2023 |
| Certification Date | 04/28/2023 |
| Medicare PECOS PAC ID | 7113233750 |
|---|---|
| Medicare Enrollment ID | O20150827002510 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992108849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I. 0800217-SUPV (Ohio) | Primary |
| Provider Name | Rachel S Cain Jewell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467652131 PECOS PAC ID: 3678669199 Enrollment ID: I20071015000316 |
| Provider Name | Bridget Richard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851533673 PECOS PAC ID: 9739230202 Enrollment ID: I20090623000346 |
| Provider Name | Jane Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518350883 PECOS PAC ID: 2961720792 Enrollment ID: I20150407002366 |
| Provider Name | Kerri A Mazzone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689299190 PECOS PAC ID: 4082003710 Enrollment ID: I20211117002650 |
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