| Amanda C Crooks, LCSW | |
| 
					905 W Governor Rd, Hershey, PA 17033-2307  | |
| (800) 243-1455 | |
| Not Available | 
| Full Name | Amanda C Crooks | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 905 W Governor Rd, Hershey, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1265120810 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 12856 (Connecticut) | Secondary | 
| 1041C0700X | Social Worker - Clinical | CW024895 (Pennsylvania) | Primary | 
| Entity Name | The Milton S Hershey Medical Center Physicians Group | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1710951744 PECOS PAC ID: 3870405483 Enrollment ID: O20040225000741  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Amanda C Crooks, LCSW 500 University Dr, Hershey, PA 17033-2360 Ph: (002) 431-4558  | Amanda C Crooks, LCSW 905 W Governor Rd, Hershey, PA 17033-2307 Ph: (800) 243-1455  | 
Jaclyn Suzanne Northridge, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 22 Northeast Dr, Hershey, PA 17033 Phone: 717-531-8338  | |
Shalon Elizabeth Pardee, CASE MANAGER Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 717-531-8338 Fax: 717-531-6250  | |
Marci J Houck, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 22 Northeast Dr, Hershey, PA 17033 Phone: 800-243-1455  | |
Mr. Troy Shane Cohick, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 710 W Chocolate Ave # 1051, Hershey, PA 17033 Phone: 717-583-7115  | |
Mrs. Beth C Clark-byers, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 905 W Governor Rd Ste 250, Hershey, PA 17033 Phone: 717-531-7235 Fax: 717-531-0067  | |
Jane M Barr, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 928 E Chocolate Ave, Hershey, PA 17033 Phone: 717-533-4797 Fax: 717-533-1574  |