| Anya L Mack, LISW-S | |
|
1660 Nave Rd Se, Massillon, OH 44646-9604 | |
| (330) 837-9411 | |
| (330) 837-4603 |
| Full Name | Anya L Mack |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1660 Nave Rd Se, Massillon, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376840017 | NPI | - | NPPES |
| 0194566 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I1500756SUPV (Ohio) | Primary |
| Entity Name | Community Healthlink Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649293028 PECOS PAC ID: 1153230065 Enrollment ID: O20040726000222 |
| Mailing Address | Practice Location Address |
|---|---|
| Anya L Mack, LISW-S 625 Cleveland Ave Nw, Canton, OH 44702-1805 Ph: (304) 550-3743 | Anya L Mack, LISW-S 1660 Nave Rd Se, Massillon, OH 44646-9604 Ph: (330) 837-9411 |
Kathleen Terry, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7317 Portage St Nw, Massillon, OH 44646 Phone: 330-966-1620 | |
Rebecca M Ajah, MSW, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1680 Nave Rd Se, Massillon, OH 44646 Phone: 330-830-8740 Fax: 330-830-0912 | |
Ms. Angela Lynn Parson, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1660 Nave Rd Se, Massillon, OH 44646 Phone: 330-453-8252 Fax: 330-453-6716 | |
Lindsay Dehaas, MSW, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7317 Portage St Nw, Massillon, OH 44646 Phone: 330-966-1620 | |
Heather Christine Armstrong, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3000 Erie St S, Massillon, OH 44646 Phone: 330-833-3135 Fax: 330-833-7327 | |
Theresa O Wilson, LISW-S, SAP Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 130 1st St Nw, Massillon, OH 44647 Phone: 330-833-0234 Fax: 330-837-7705 |