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115 South Centre Street Lower Level Pottsville PA 17901-2706 | |
(570) 622-1025 | |
(570) 628-4344 |
Full Name | |
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Speciality | Psychologist |
Location | 115 South Centre Street Lower Level, Pottsville, Pennsylvania |
Authorized Official Name and Position | Kelly Reno (PARTNER) |
Authorized Official Contact | 5706221025 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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115 South Centre Street Lower Level Pottsville PA 17901-2706 Ph: (570) 622-1025 | 115 South Centre Street Lower Level Pottsville PA 17901-2706 Ph: (570) 622-1025 |
NPI Number | 1578534442 |
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Provider Enumeration Date | 01/30/2006 |
Last Update Date | 01/11/2022 |
Certification Date | 01/11/2022 |
Medicare PECOS PAC ID | 0547362923 |
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Medicare Enrollment ID | O20070305000230 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578534442 | NPI | - | NPPES |
920277 | Other | PA | PABLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Kelly S Reno |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1164563698 PECOS PAC ID: 8628170008 Enrollment ID: I20070305000235 |
Provider Name | Keith D Semerod |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1366676975 PECOS PAC ID: 9931251352 Enrollment ID: I20090716000194 |
Provider Name | Lori Chaplick |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1851665715 PECOS PAC ID: 7719336296 Enrollment ID: I20240207001874 |
Provider Name | Denise Whalen |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1295736296 PECOS PAC ID: 0547590051 Enrollment ID: I20240223002459 |
Provider Name | Joseph Sheris |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1639170624 PECOS PAC ID: 4789778309 Enrollment ID: I20240729001057 |
Provider Name | Melinda Anthony Spolski |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1033940259 PECOS PAC ID: 4789122987 Enrollment ID: I20240820000305 |
Provider Name | Dana Sukeena |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1073816104 PECOS PAC ID: 4587197066 Enrollment ID: I20241023002602 |
Provider Name | Christianne Bayer |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1750367769 PECOS PAC ID: 7618363573 Enrollment ID: I20241212000015 |
Clinical Social Worker Associates, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 396 S. Centre Street, Pottsville, PA 17901 Phone: 570-640-3744 | |
Sterling Counseling Concepts Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 Route 61 Hwy S, Pottsville, PA 17901 Phone: 570-213-9196 | |
Mohammad Aslam, M.d. & Associates, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Mill Creek Ave, Pottsville, PA 17901 Phone: 570-622-6732 Fax: 570-628-3899 |