| Dori L Grace, LCSW | |
|
131 W Drexel Pkwy, Rensselaer, IN 47978-7344 | |
| (219) 866-4194 | |
| Not Available |
| Full Name | Dori L Grace |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 7 Years |
| Location | 131 W Drexel Pkwy, Rensselaer, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609502913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34009834A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vitae Health Medical Indiana Llc | 1153708086 | 2 |
| Entity Name | Valley Oaks Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689629990 PECOS PAC ID: 7315927563 Enrollment ID: O20040720001286 |
| Entity Name | Vitae Health Medical Indiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396493433 PECOS PAC ID: 1153708086 Enrollment ID: O20220516001732 |
| Mailing Address | Practice Location Address |
|---|---|
| Dori L Grace, LCSW 14113 N State Road 49, Wheatfield, IN 46392-8802 Ph: (219) 204-1474 | Dori L Grace, LCSW 131 W Drexel Pkwy, Rensselaer, IN 47978-7344 Ph: (219) 866-4194 |
Stephanie Ann Shields, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 131 W Drexel Pkwy, Rensselaer, IN 47978 Phone: 219-866-4194 Fax: 219-866-4197 | |
Kimberly D Denton, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 131 W Drexel Pkwy, Rensselaer, IN 47978 Phone: 219-866-4194 | |
Rachel L Johnson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 131 W Drexel Pkwy, Rensselaer, IN 47978 Phone: 219-866-4194 |