| Dawn Rife, | |
|
15 W Main St, Madison, OH 44057-3125 | |
| (440) 428-0118 | |
| Not Available |
| Full Name | Dawn Rife |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 15 W Main St, Madison, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104373968 | NPI | - | NPPES |
| 0299624 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I2203475 (Ohio) | Primary |
| Entity Name | Psychological & Behavioral Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811915713 PECOS PAC ID: 0446243760 Enrollment ID: O20040405000363 |
| Mailing Address | Practice Location Address |
|---|---|
| Dawn Rife, 15 W Main St, Madison, OH 44057-3125 Ph: (440) 428-0118 | Dawn Rife, 15 W Main St, Madison, OH 44057-3125 Ph: (440) 428-0118 |
Marie J Dehaas/ Dehaas Family Counseling, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 15 W Main St, Madison, OH 44057 Phone: 440-228-2059 Fax: 440-228-2059 | |
Peggy Davenport, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15 W Main St, Madison, OH 44057 Phone: 440-227-9999 | |
Ms. Angela Marie Smith, LISW-S, LICDC, CFRC Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 15 W Main St, Madison, OH 44057 Phone: 440-413-3392 |