| Lori Lycans, | |
|
1791 Alum Creek Dr, Columbus, OH 43207-1757 | |
| (614) 445-8131 | |
| Not Available |
| Full Name | Lori Lycans |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 4 Years |
| Location | 1791 Alum Creek Dr, Columbus, 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 |
|---|---|---|---|
| 1356002869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I.2506931 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Psychological And Behavioral Consultants Llc | 0446243760 | 595 |
| Entity Name | Maryhaven Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245290436 PECOS PAC ID: 8527281658 Enrollment ID: O20140519001174 |
| Mailing Address | Practice Location Address |
|---|---|
| Lori Lycans, 1791 Alum Creek Dr, Columbus, OH 43207-1708 Ph: (614) 445-8131 | Lori Lycans, 1791 Alum Creek Dr, Columbus, OH 43207-1757 Ph: (614) 445-8131 |
Andrea L Goehring, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1555 Bethel Rd, Columbus, OH 43220 Phone: 614-442-0664 Fax: 614-442-0620 |
Mr. Dale James Smith, L.I.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1301 N High St, Columbus, OH 43201 Phone: 614-299-6600 Fax: 614-298-2224 |
Abbe M Straw, LISW-S Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 918 S Front St, Columbus, OH 43206 Phone: 614-445-8277 |
Paul Parker Wilkinson, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2400 N 4th St, Columbus, OH 43202 Phone: 614-432-2273 |
Elenice Gomes, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1810 Sullivant Ave, Columbus, OH 43222 Phone: 614-752-0333 Fax: 614-995-3268 |
Hope Anthony, MSW, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 527 S High St, Columbus, OH 43215 Phone: 614-227-9444 |
Charmayne Ross, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4725 Parkwick Dr Ste 100, Columbus, OH 43228 Phone: 614-655-3354 |