| Benjamin Lang, MSW, LCSW / LISW | |
|
19910 Malvern Rd, Shaker Heights, OH 44122-2823 | |
| (216) 991-4472 | |
| Not Available |
| Full Name | Benjamin Lang |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 19910 Malvern Rd, Shaker Heights, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215794656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.024895 (Illinois) | Secondary |
| 1041C0700X | Social Worker - Clinical | I.2304887 (Ohio) | Primary |
| Entity Name | Way Station Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124490784 PECOS PAC ID: 8628064151 Enrollment ID: O20040421001136 |
| Entity Name | Mosaic Community Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265539142 PECOS PAC ID: 0941289417 Enrollment ID: O20040717000385 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Lang, MSW, LCSW / LISW 19910 Malvern Rd, Shaker Heights, OH 44122-2823 Ph: () - | Benjamin Lang, MSW, LCSW / LISW 19910 Malvern Rd, Shaker Heights, OH 44122-2823 Ph: (216) 991-4472 |
Mrs. Kerry Katz, LISW-S Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 22001 Fairmount Blvd, Shaker Heights, OH 44118 Phone: 216-320-8458 Fax: 216-932-8520 | |
Pamela Budak, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 22001 Fairmount Blvd, Shaker Heights, OH 44118 Phone: 216-320-8565 | |
Lauren Delmore, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 22001 Fairmount Blvd, Shaker Heights, OH 44118 Phone: 216-320-8482 | |
Jill Sadowsky, MSW, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 22001 Fairmount Blvd, Shaker Heights, OH 44118 Phone: 216-932-2800 | |
Ms. Sally L. Struk, LISW-S, CDCA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 22001 Fairmount Blvd, Shaker Heights, OH 44118 Phone: 216-932-2800 | |
Mrs. Michelle Lynn Majka, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 22001 Fairmount Blvd, Shaker Heights, OH 44118 Phone: 216-320-8325 | |
Mary Bourdrez, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3086 Huntington Rd, Shaker Heights, OH 44120 Phone: 216-798-4541 |