| Jamie Declercq, LISW-SUPV | |
|
924 N Cable Rd, Lima, OH 45805-1704 | |
| (419) 969-3125 | |
| Not Available |
| Full Name | Jamie Declercq |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 924 N Cable Rd, Lima, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366734279 | NPI | - | NPPES |
| 0251480 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I0031486-SUPV (Ohio) | Primary |
| Entity Name | Encompass Care, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912412768 PECOS PAC ID: 2062752595 Enrollment ID: O20190320001960 |
| Entity Name | Lighthouse Behavioral Health Solutions, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629560230 PECOS PAC ID: 4486089893 Enrollment ID: O20200113001896 |
| Mailing Address | Practice Location Address |
|---|---|
| Jamie Declercq, LISW-SUPV 1100 Shawnee Rd, Lima, OH 45805-3583 Ph: (419) 999-3607 | Jamie Declercq, LISW-SUPV 924 N Cable Rd, Lima, OH 45805-1704 Ph: (419) 969-3125 |
Kristin Diane Beindorf, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1303 Bellefontaine Ave, Lima, OH 45804 Phone: 419-222-5788 Fax: 419-227-9794 | |
Mrs. Kristal Marie Mutwiri, MSW/LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 205 W Market St Fl 5, Lima, OH 45801 Phone: 419-229-2222 Fax: 419-229-2227 | |
Samantha Farler, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1550 N Main St, Lima, OH 45801 Phone: 419-516-0327 Fax: 419-225-8878 | |
Mrs. Michelle L Monfort, MSW, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1550 N Main St, Lima, OH 45801 Phone: 419-516-0327 Fax: 419-225-8878 | |
Ms. Danielle M. Finch, LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 441 E 8th St, Lima, OH 45804 Phone: 419-221-3072 Fax: 419-225-8878 | |
Angela Marie Clements, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Spartan Way, Lima, OH 45801 Phone: 419-222-3546 Fax: 419-225-8878 | |
Tonja Lashay Nichols, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 517 S Main St, Lima, OH 45804 Phone: 419-549-8008 |