| Evan Baier, | |
|
335 S Franklin St, Wilkes Barre, PA 18702-3808 | |
| (570) 825-6425 | |
| Not Available |
| Full Name | Evan Baier |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 335 S Franklin St, Wilkes Barre, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134671589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CW020763 (Pennsylvania) | Primary |
| Entity Name | Children's Service Center of Wyoming Valley Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700861242 PECOS PAC ID: 1052567617 Enrollment ID: O20170609001473 |
| Mailing Address | Practice Location Address |
|---|---|
| Evan Baier, 335 S Franklin St, Wilkes Barre, PA 18702-3808 Ph: (570) 825-6425 | Evan Baier, 335 S Franklin St, Wilkes Barre, PA 18702-3808 Ph: (570) 825-6425 |
Ms. Colleen Ann Lutchko, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1111 E End Blvd, Wilkes Barre, PA 18711 Phone: 570-824-3521 |
Mr. Anthony Black, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 110 S Pennsylvania Ave, Wilkes Barre, PA 18701 Phone: 570-552-6000 Fax: 570-552-6021 |
Heather Catherine Pugliese, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1000 East Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-808-7908 Fax: 570-808-5592 |
Mr. John Jason Wallace, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1111 E End Blvd, Wilkes Barre, PA 18711 Phone: 570-824-3521 |
Ms. Danielle Lee Antonini, MSW/LSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 335 S Franklin St, Wilkes Barre, PA 18702 Phone: 570-825-6425 |
Patricia P Hoovler, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 110 S Pennsylvania Ave, Wilkes Barre, PA 18701 Phone: 570-552-6000 |
Sarah Delores Skiro, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 335 S Franklin St, Wilkes Barre, PA 18702 Phone: 570-825-6425 Fax: 570-762-9011 |