Erica Bodeker, MSW | |
308 Medic Way, Greencastle, IN 46135-2296 | |
(765) 653-2669 | |
Not Available |
Full Name | Erica Bodeker |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 308 Medic Way, Greencastle, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033723135 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 34011556A (Indiana) | Primary |
Entity Name | Cummins Behavioral Health Systems Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740232115 PECOS PAC ID: 1850296302 Enrollment ID: O20031206000039 |
Mailing Address | Practice Location Address |
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Erica Bodeker, MSW 330 Mill Spgs, Fillmore, IN 46128-9386 Ph: (812) 447-3063 | Erica Bodeker, MSW 308 Medic Way, Greencastle, IN 46135-2296 Ph: (765) 653-2669 |
Sydni Brown, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 308 Medic Way, Greencastle, IN 46135 Phone: 765-653-2669 | |
Mr. Larry Dale Squires, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 308 Medic Way, Greencastle, IN 46135 Phone: 765-653-2669 Fax: 765-653-8671 | |
Amanda Lewellen, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 308 Medic Way, Greencastle, IN 46135 Phone: 765-653-2669 | |
Elizabeth Delaney, LCSW, LMFT Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 239 Hillsdale Ave, Greencastle, IN 46135 Phone: 765-653-1024 Fax: 765-653-4931 | |
Mr. Samuel W. Sprankle, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 308 Medic Way, Greencastle, IN 46135 Phone: 765-653-2669 | |
Dana Glessner, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 239 Hillsdale Ave, Greencastle, IN 46135 Phone: 765-653-1024 |