Joseph Humphries, NCC, LSW, LPCC | |
3292 Stones Throw Ave, Poland, OH 44514-4213 | |
(330) 757-3975 | |
Not Available |
Full Name | Joseph Humphries |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 3292 Stones Throw Ave, Poland, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013994912 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | S-0020095 (Ohio) | Primary |
Entity Name | Preferred Care Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457664567 PECOS PAC ID: 7315261021 Enrollment ID: O20150128000504 |
Entity Name | Preferred Care Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154687390 PECOS PAC ID: 9830415769 Enrollment ID: O20150311001798 |
Mailing Address | Practice Location Address |
---|---|
Joseph Humphries, NCC, LSW, LPCC 8577 E Market St, Warren, OH 44484-2345 Ph: (330) 856-6663 | Joseph Humphries, NCC, LSW, LPCC 3292 Stones Throw Ave, Poland, OH 44514-4213 Ph: (330) 757-3975 |
Miss Sallyanne Falasca, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3300 Stones Throw Ave, Poland, OH 44514 Phone: 330-757-3975 Fax: 330-757-3976 | |
Aimee M Loree, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3292 Stones Throw Ave, Poland, OH 44514 Phone: 330-757-3975 |