| Lucila A Moreno, LISW-S | |
|
5030 County Road 15 Ste C, Bryan, OH 43506-9767 | |
| (419) 636-1713 | |
| (419) 445-1401 |
| Full Name | Lucila A Moreno |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 31 Years |
| Location | 5030 County Road 15 Ste C, Bryan, 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 |
|---|---|---|---|
| 1194949396 | NPI | - | NPPES |
| 0174661 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I 0007980 (Ohio) | Primary |
| Entity Name | Defiance Hospital Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629216684 PECOS PAC ID: 6305754557 Enrollment ID: O20040322000150 |
| Entity Name | Promedica Multi Specialty Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306105150 PECOS PAC ID: 7113182809 Enrollment ID: O20120702000334 |
| Mailing Address | Practice Location Address |
|---|---|
| Lucila A Moreno, LISW-S 22251 State Route 2, Archbold, OH 43502-9452 Ph: (419) 445-1552 | Lucila A Moreno, LISW-S 5030 County Road 15 Ste C, Bryan, OH 43506-9767 Ph: (419) 636-1713 |
Mrs. Frances Bland Diehl, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 Van Gundy Drive, Bryan Community Health Center, Bryan, OH 43506 Phone: 419-636-5218 Fax: 419-225-8878 | |
David Scott Acus, MA, MSW, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 108 W High St, Bryan, OH 43506 Phone: 419-636-1713 Fax: 888-276-4914 | |
Christina R Hancock, LISW-S Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 221 S Main St, Bryan, OH 43506 Phone: 419-636-8400 Fax: 419-636-7953 | |
Amanda Mallory Slough, LISW-S, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 228 S Main St, Bryan, OH 43506 Phone: 567-239-4562 Fax: 419-225-8878 | |
Emily Monroe, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 228 S Main St, Bryan, OH 43506 Phone: 567-239-4562 | |
Craig A Bills, LSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 200 Van Gundy Dr, Bryan, OH 43506 Phone: 419-636-0410 Fax: 419-636-6510 |