| Liesa Kaye, LISW-S | |
|
2600 Tuscarawas St W Ste 340, Canton, OH 44708-4694 | |
| (330) 493-9607 | |
| (330) 493-9609 |
| Full Name | Liesa Kaye |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 11 Years |
| Location | 2600 Tuscarawas St W Ste 340, Canton, 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 |
|---|---|---|---|
| 1144708546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I.2102757 (Ohio) | Primary |
| 104100000X | Social Worker | S1500030 (Ohio) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ohio Physician Professional Corporation | 2668406059 | 116 |
| Entity Name | Ohio Physician Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417016973 PECOS PAC ID: 2668406059 Enrollment ID: O20050925000062 |
| Mailing Address | Practice Location Address |
|---|---|
| Liesa Kaye, LISW-S 2600 Tuscarawas St W Ste 340, Canton, OH 44708-4694 Ph: (330) 493-9607 | Liesa Kaye, LISW-S 2600 Tuscarawas St W Ste 340, Canton, OH 44708-4694 Ph: (330) 493-9607 |
Mark Woods, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 624 Market Ave N, Canton, OH 44702 Phone: 330-454-7066 | |
Randall Devney, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4895 Dressler Rd Nw, Canton, OH 44718 Phone: 330-493-0083 | |
Kristina Marie Drummer, LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 400 Tuscarawas St W, Canton, OH 44702 Phone: 330-438-2400 | |
Susan Stroup, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 624 Market Ave N, Canton, OH 44702 Phone: 330-454-7066 | |
Nicholas Fulks, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 400 Tuscarawas St W, Canton, OH 44702 Phone: 330-438-2400 Fax: 330-823-7078 | |
Kate Kelly, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4895 Dressler Rd Nw, Canton, OH 44718 Phone: 330-493-0083 | |
Mrs. Jessica Rwejuna, MSSA-LSW S1440171 Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Ohio Guidestone, 401 West Tuscarawas St, Suite 501, Canton, OH 44702 Phone: 440-260-8300 |