Liane Lundquist-minier, MSW, LCSW | |
1259 E State Road 205, Columbia City, IN 46725-9492 | |
(260) 248-8176 | |
Not Available |
Full Name | Liane Lundquist-minier |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1259 E State Road 205, Columbia City, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1417752437 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 34011713A (Indiana) | Primary |
Entity Name | The Otis R Bowen Center For Human Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639172810 PECOS PAC ID: 7618950965 Enrollment ID: O20050404000853 |
Mailing Address | Practice Location Address |
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Liane Lundquist-minier, MSW, LCSW 2621 E Jefferson St, Warsaw, IN 46580-3880 Ph: () - | Liane Lundquist-minier, MSW, LCSW 1259 E State Road 205, Columbia City, IN 46725-9492 Ph: (260) 248-8176 |
Lavon Fletcher, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 202 W Van Buren St, Ste F, Columbia City, IN 46725 Phone: 260-636-6884 Fax: 260-636-3392 | |
Pamela Connelly-castle, BA/BS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2180 E Mowrey Rd, Columbia City, IN 46725 Phone: 260-705-7513 | |
Tina L Jagger, MSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 104 N Chauncey St, Columbia City, IN 46725 Phone: 260-244-6300 | |
Anthony D Jeffers, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 119 W Market St, Columbia City, IN 46725 Phone: 260-248-8176 Fax: 260-248-2366 | |
Mary Cynthia Dygert, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 119 W Market St, Columbia City, IN 46725 Phone: 260-248-8176 Fax: 260-248-2366 | |
David Lee Swineheart, MA, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 215 E Van Buren St, Suite 107, Columbia City, IN 46725 Phone: 260-750-4857 |