| H Douglas Hornbeck, LISW | |
|
4510 Collins Blvd, Suite 4, Ashtabula, OH 44004-6954 | |
| (440) 992-9777 | |
| (440) 992-9683 |
| Full Name | H Douglas Hornbeck |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 4510 Collins Blvd, Ashtabula, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245417211 | NPI | - | NPPES |
| 000000199668 | Other | OH | ANTHEM BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I4239 (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 |
|---|---|
| H Douglas Hornbeck, LISW 4510 Collins Blvd, Suite 4, Ashtabula, OH 44004-6954 Ph: (440) 992-9777 | H Douglas Hornbeck, LISW 4510 Collins Blvd, Suite 4, Ashtabula, OH 44004-6954 Ph: (440) 992-9777 |
Valerie Lynn Weber, MSW, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4726 Main Ave, Ashtabula, OH 44004 Phone: 440-992-8552 Fax: 440-992-6631 | |
Susan B Borstein, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 355 W Prospect Rd, Suite 102, Ashtabula, OH 44004 Phone: 440-998-7541 Fax: 440-998-7541 | |
Joanna Castrilla-cole, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4726 Main Ave, Ashtabula, OH 44004 Phone: 440-992-8552 Fax: 440-992-6631 | |
Nicole Marie Noscal, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4200 Park Ave Fl 2, Ashtabula, OH 44004 Phone: 440-992-8552 Fax: 440-992-6631 | |
Mr. Deryl Sterling Nazor, L.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4200 Park Ave, 3rd Floor, Ashtabula, OH 44004 Phone: 440-992-2121 | |
Stacy Smith, MSW, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4726 Main Ave, Ashtabula, OH 44004 Phone: 440-992-8552 Fax: 440-992-6631 |