| Kristen Colella, LISW-S | |
|
12557 Ravenwood Dr, Chardon, OH 44024-9009 | |
| (440) 285-3568 | |
| Not Available |
| Full Name | Kristen Colella |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 12 Years |
| Location | 12557 Ravenwood Dr, Chardon, 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 |
|---|---|---|---|
| 1720534506 | NPI | - | NPPES |
| 0197119 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I.1600658-SUPV (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ravenwood Mental Health Center | 6901813922 | 54 |
| Entity Name | Signature Health, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679767289 PECOS PAC ID: 8628970985 Enrollment ID: O20040126000762 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Colella, LISW-S 12557 Ravenwood Dr, Chardon, OH 44024-9009 Ph: (440) 285-3568 | Kristen Colella, LISW-S 12557 Ravenwood Dr, Chardon, OH 44024-9009 Ph: (440) 285-3568 |
Kasey Keegan Galloway, LISW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 12557 Ravenwood Dr, Chardon, OH 44024 Phone: 440-285-3568 | |
Lauren Anne Plott, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 13300 Aquilla Rd, Chardon, OH 44024 Phone: 440-279-2096 | |
Ms. Jennifer G Lacortiglia, LISW S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11575 Lower Chelsea Dr, Chardon, OH 44024 Phone: 440-212-4278 | |
Latia E Phillips-bey, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 695 South St Ste 6, Chardon, OH 44024 Phone: 216-970-7972 | |
Rebecca Petrey, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 695 South St Ste 6, Chardon, OH 44024 Phone: 440-286-1553 | |
Miss Lyle J. Morris, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 12557 Ravenwood Dr, Chardon, OH 44024 Phone: 440-285-3568 | |
Brooke-marie Noscal, Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 695 South St Ste 6, Chardon, OH 44024 Phone: 440-286-1553 |