| Kacie Householder, | |
|
520 Youngstown Poland Rd, Struthers, OH 44471-1103 | |
| (330) 318-3078 | |
| Not Available |
| Full Name | Kacie Householder |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 10 Years |
| Location | 520 Youngstown Poland Rd, Struthers, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528455524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | S.1303313 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alcove Ventures Llc | 1456669605 | 54 |
| Entity Name | Family & Community Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750607057 PECOS PAC ID: 1557495223 Enrollment ID: O20100817000529 |
| Entity Name | Alcove Ventures Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093191322 PECOS PAC ID: 1456669605 Enrollment ID: O20151007002805 |
| Mailing Address | Practice Location Address |
|---|---|
| Kacie Householder, 775 Althea Ave Nw, Warren, OH 44483-2235 Ph: () - | Kacie Householder, 520 Youngstown Poland Rd, Struthers, OH 44471-1103 Ph: (330) 318-3078 |
Mrs. Jamie Ann Binegar, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 572 Maplewood Ave, Struthers, OH 44471 Phone: 330-540-0086 | |
Deonna Lampley, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 520 Youngstown Poland Rd, Struthers, OH 44471 Phone: 330-318-3078 Fax: 330-318-3078 | |
Kristen M Kotheimer, MSW, LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 520 Youngstown Poland Rd, Struthers, OH 44471 Phone: 330-318-3078 Fax: 234-855-1072 | |
Gretchen Emch, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 520 Youngstown Poland Rd, Struthers, OH 44471 Phone: 330-318-3078 Fax: 330-318-3078 | |
Gary Jennings, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 520 Youngstown Poland Rd, Struthers, OH 44471 Phone: 330-318-3078 | |
Brian Hudzik, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 520 Youngstown Poland Rd, Struthers, OH 44471 Phone: 330-881-6936 |