| Jacob L Munz, LISW, LCDC III | |
|
25 Whitney Drive Suite 122, Milford, OH 45150-8400 | |
| (513) 753-9964 | |
| (513) 753-9968 |
| Full Name | Jacob L Munz |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 25 Whitney Drive Suite 122, Milford, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528402740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I.2405359 (Ohio) | Primary |
| Entity Name | Mindfully Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972702520 PECOS PAC ID: 3476606252 Enrollment ID: O20090727000253 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob L Munz, LISW, LCDC III 25 Whitney Drive Suite 122, Milford, OH 45150-8400 Ph: (513) 753-9964 | Jacob L Munz, LISW, LCDC III 25 Whitney Drive Suite 122, Milford, OH 45150-8400 Ph: (513) 753-9964 |
Mr. Charles Wesley Underwood Ii, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6034 Delfair Ln, Milford, OH 45150 Phone: 513-254-4252 | |
Sheryl Doan, ISWS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 228 Mill St Ste 204, Milford, OH 45150 Phone: 513-678-8552 | |
Elizabeth Diggs Banks, MSSW, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 889 Blackpine Dr, Milford, OH 45150 Phone: 513-722-3771 | |
Mrs. Emmaly Esther Diller, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1125 Raintree Dr, Milford, OH 45150 Phone: 937-689-0973 | |
Erika Ashe, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5720 Signal Hill Ct, Milford, OH 45150 Phone: 952-693-5335 | |
Melynda Bowers, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5789 Observation Ct, Milford, OH 45150 Phone: 307-699-2468 |