| Jennifer Ordway, LCSW | |
|
6910 N Main St Unit 52, Granger, IN 46530-8412 | |
| (574) 231-6766 | |
| (833) 249-2411 |
| Full Name | Jennifer Ordway |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 6910 N Main St Unit 52, Granger, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073291134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34009620A (Indiana) | Primary |
| Entity Name | Great Lakes Behavior Management Specialists, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891346441 PECOS PAC ID: 9436580958 Enrollment ID: O20200515001270 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Ordway, LCSW 6910 N Main St Unit 52, Granger, IN 46530-8412 Ph: (574) 231-6766 | Jennifer Ordway, LCSW 6910 N Main St Unit 52, Granger, IN 46530-8412 Ph: (574) 231-6766 |
Carissa L Stivers, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6910 N Main St Unit 52, Granger, IN 46530 Phone: 574-231-6766 Fax: 833-249-2411 | |
Mrs. Marcia A Koelndorfer, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 14887 State Road 23, Ste 3, Granger, IN 46530 Phone: 574-232-2255 Fax: 574-232-8968 | |
Rachelle E Miller, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 51939 Currant Rd, Granger, IN 46530 Phone: 745-209-0837 | |
Diana K Moryl, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6910 N Main St Unit 13l, Granger, IN 46530 Phone: 574-231-6766 Fax: 833-249-2411 | |
Michelle E Silvia, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 6910 N Main St Unit 52, Granger, IN 46530 Phone: 574-231-6766 Fax: 833-249-2411 | |
Mr. Bruce Joray, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 50550 Little John Ln, Granger, IN 46530 Phone: 317-900-6777 |