| Step Up Care Of Ohio Llc | |
|
145 Baker St Marion OH 43302-4111 | |
| (718) 506-1115 | |
| Not Available |
| Full Name | Step Up Care Of Ohio Llc |
|---|---|
| Speciality | Psychologist |
| Location | 145 Baker St, Marion, Ohio |
| Authorized Official Name and Position | Naftali Weinberger (PARTNER) |
| Authorized Official Contact | 7185061115 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Step Up Care Of Ohio Llc 27 Randolph Rd Howell NJ 07731-8611 Ph: (718) 506-1115 | Step Up Care Of Ohio Llc 145 Baker St Marion OH 43302-4111 Ph: (718) 506-1115 |
| NPI Number | 1376104943 |
|---|---|
| Provider Enumeration Date | 06/25/2019 |
| Last Update Date | 06/25/2019 |
| Medicare PECOS PAC ID | 2264763382 |
|---|---|
| Medicare Enrollment ID | O20191003002302 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376104943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Andrew Seth Rosenzweig |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942203690 PECOS PAC ID: 9234043134 Enrollment ID: I20170425002526 |
| Provider Name | Yashauna D Wallace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528431657 PECOS PAC ID: 7911245352 Enrollment ID: I20190211002355 |
| Provider Name | Angela Ohene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811476914 PECOS PAC ID: 1254729171 Enrollment ID: I20211026003414 |
| Provider Name | Faustina Datamit Dindiok |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295298792 PECOS PAC ID: 6800207275 Enrollment ID: I20240404002463 |
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