| Life Steps Inc | |
|
605 S Trimble Rd Ste D Mansfield OH 44906-4112 | |
| (419) 756-9975 | |
| (419) 756-1405 |
| Full Name | Life Steps Inc |
|---|---|
| Speciality | Social Worker |
| Location | 605 S Trimble Rd, Mansfield, Ohio |
| Authorized Official Name and Position | Joyce L Kirkendall (VICE PRESIDENTTREASURER) |
| Authorized Official Contact | 4197569975 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Steps Inc 605 S Trimble Rd Ste D Mansfield OH 44906-4112 Ph: (419) 756-9975 | Life Steps Inc 605 S Trimble Rd Ste D Mansfield OH 44906-4112 Ph: (419) 756-9975 |
| NPI Number | 1588870646 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 11/26/2007 |
| Medicare PECOS PAC ID | 7517082027 |
|---|---|
| Medicare Enrollment ID | O20100921000060 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588870646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Tracy L Motta-hamilton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154473825 PECOS PAC ID: 7719061621 Enrollment ID: I20080229000370 |
| Provider Name | Karen M Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538129770 PECOS PAC ID: 3870618382 Enrollment ID: I20100921000085 |
| Provider Name | Elizabeth S Long |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205914769 PECOS PAC ID: 5597880005 Enrollment ID: I20100921000099 |
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