| Kristen Elaine Buchannan, | |
|
2801 Martin Luther King Jr Dr, Cleveland, OH 44104-3815 | |
| (216) 448-6158 | |
| (216) 448-6342 |
| Full Name | Kristen Elaine Buchannan |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 2801 Martin Luther King Jr Dr, Cleveland, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962740647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0008245 (Ohio) | Primary |
| Entity Name | The Cleveland Clinic Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049 |
| Entity Name | Sondermind Provider Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210316002509 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Elaine Buchannan, 2801 Martin Luther King Jr Dr, Cleveland, OH 44104-3815 Ph: (216) 448-6158 | Kristen Elaine Buchannan, 2801 Martin Luther King Jr Dr, Cleveland, OH 44104-3815 Ph: (216) 448-6158 |
Claudette M Williams, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5500 S Marginal Rd, Cleveland, OH 44103 Phone: 216-221-7588 | |
Kim M Jackson, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3500 Carnegie Ave, Cleveland, OH 44115 Phone: 440-260-8554 | |
Sherah Y Newman, LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 12201 Euclid Ave, Cleveland, OH 44106 Phone: 216-707-3469 Fax: 216-707-3529 | |
Jacqueline H Goodin, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3430 Rocky River Dr, Cleveland, OH 44111 Phone: 216-688-1111 Fax: 216-251-2886 | |
Ms. Heather Ross, MSSA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13705 Shaker Blvd., Cleveland, OH 44120 Phone: 216-570-7314 | |
Mrs. Mervat M Khafaga, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4115 Bridge Ave, Cleveland, OH 44113 Phone: 216-631-5800 Fax: 216-631-4595 | |
Ruth Sudilovsky-pecha, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 526 Superior Ave E, #1400, Cleveland, OH 44114 Phone: 216-619-6194 |