Brandi Forbes, | |
6040 Princeton Rd, Liberty Twp, OH 45011-9396 | |
(513) 777-6194 | |
(513) 759-2672 |
Full Name | Brandi Forbes |
---|---|
Gender | Female |
Speciality | Social Worker |
Location | 6040 Princeton Rd, Liberty Twp, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932791290 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
104100000X | Social Worker | I.2406031 (Ohio) | Primary |
Entity Name | Children's Hospital Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609915784 PECOS PAC ID: 8426955733 Enrollment ID: O20031216000035 |
Mailing Address | Practice Location Address |
---|---|
Brandi Forbes, 6040 Princeton Rd, Liberty Twp, OH 45011-9396 Ph: (513) 777-6194 | Brandi Forbes, 6040 Princeton Rd, Liberty Twp, OH 45011-9396 Ph: (513) 777-6194 |
Ms. Kelly Marie Heitkamp, LISW-S, TRCC Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 6645 Princeton Glendale Rd, Liberty Twp, OH 45011 Phone: 859-322-2499 | |
Bethany Putnam, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5805 Furlong Way, Liberty Twp, OH 45011 Phone: 513-205-7627 Fax: 513-205-7627 |