| Allyson Roudybush, LCSW | |
|
2307 W 12th St, Erie, PA 16505-4539 | |
| (814) 528-5667 | |
| Not Available |
| Full Name | Allyson Roudybush |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 2307 W 12th St, Erie, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568157600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CW023332 (Pennsylvania) | Primary |
| Entity Name | Quartet Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497438428 PECOS PAC ID: 5294274536 Enrollment ID: O20240829004076 |
| Mailing Address | Practice Location Address |
|---|---|
| Allyson Roudybush, LCSW 4125 Greengarden Rd, Erie, PA 16509-1122 Ph: (814) 490-3641 | Allyson Roudybush, LCSW 2307 W 12th St, Erie, PA 16505-4539 Ph: (814) 528-5667 |
Emily Perkins, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 135 E 38th St, Erie, PA 16504 Phone: 814-860-2471 | |
Kristen A Schenker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1373 W 6th St, Erie, PA 16505 Phone: 814-873-4205 | |
Brent Vargo, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2910 State St, Erie, PA 16508 Phone: 814-464-5686 | |
Donna M Snyder, LCSW, CAC DIPLOMATE Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1910 Sassafras St, Suite 100, Erie, PA 16502 Phone: 814-452-5490 Fax: 814-452-7610 | |
Ms. Antoinette Louise Baker-mulford, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5100 Peach St, Erie, PA 16509 Phone: 814-866-4500 Fax: 814-866-2677 | |
Karly Bender, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2220 W 8th St Ste 1, Erie, PA 16505 Phone: 814-546-3155 | |
Mrs. Julia Rose Copen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1910 Sassafras St, Erie, PA 16502 Phone: 814-452-5843 Fax: 814-452-7610 |