Celisa Marie Hardesty, LISW | |
2737 Youngstown Rd Se, Warren, OH 44484-5002 | |
(330) 369-8022 | |
Not Available |
Full Name | Celisa Marie Hardesty |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2737 Youngstown Rd Se, Warren, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164807442 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | I.1901425-SUPV (Ohio) | Primary |
104100000X | Social Worker | I1901425 (Ohio) | Secondary |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210316002509 |
Mailing Address | Practice Location Address |
---|---|
Celisa Marie Hardesty, LISW 1400 S Arlington St Unit 38, Akron, OH 44306-3771 Ph: (888) 975-9188 | Celisa Marie Hardesty, LISW 2737 Youngstown Rd Se, Warren, OH 44484-5002 Ph: (330) 369-8022 |
Kayla Keener, MSW, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1460 Tod Ave Nw, Warren, OH 44485 Phone: 330-392-0311 Fax: 216-229-2897 | |
Rhonda Lynn Williams, SWT Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 430 Franklin St Se, Warren, OH 44483 Phone: 330-372-2200 | |
Ms. Jessica Nicole Jack Russell, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 425 Niles Cortland Rd Se, Warren, OH 44484 Phone: 330-856-3975 | |
Jennifer L Evans, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3915 E Market St Ste 1, Warren, OH 44484 Phone: 330-409-4642 | |
Amanda L Bright, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 320 High St Ne, Warren, OH 44481 Phone: 330-797-0070 | |
Allison Rachel Kidd, LISW-S Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4930 Enterprise Dr Nw, Warren, OH 44481 Phone: 330-787-0955 |