| Mae Bennett, LISW | |
|
29125 Chagrin Blvd, Pepper Pike, OH 44122-4412 | |
| (216) 292-3999 | |
| Not Available |
| Full Name | Mae Bennett |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 29125 Chagrin Blvd, Pepper Pike, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245730480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I.1901452 (Ohio) | Primary |
| Entity Name | Jewish Family Service Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659445153 PECOS PAC ID: 8729990023 Enrollment ID: O20031105000003 |
| Mailing Address | Practice Location Address |
|---|---|
| Mae Bennett, LISW 3659 Green Rd, Beachwood, OH 44122-5727 Ph: () - | Mae Bennett, LISW 29125 Chagrin Blvd, Pepper Pike, OH 44122-4412 Ph: (216) 292-3999 |
Mrs. Aminah C. T. Brahim-jimenez, LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3737 Lander Rd, Pepper Pike, OH 44124 Phone: 216-831-2255 Fax: 216-378-3906 | |
Jasmine G Jordan, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3737 Lander Rd, Pepper Pike, OH 44124 Phone: 216-831-2255 Fax: 216-378-3906 | |
Mrs. Tracey Roman Mckiernan, LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3737 Lander Rd, Pepper Pike, OH 44124 Phone: 216-831-2255 Fax: 216-831-0638 | |
Mansi P Ng, LISW-SUPV Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3737 Lander Rd, Pepper Pike, OH 44124 Phone: 216-831-2255 Fax: 216-378-3906 | |
Aria B Honvou, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3737 Lander Road, Pepper Pike, OH 44124 Phone: 216-831-2255 Fax: 216-378-3906 | |
Ms. Whitney C Jones, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3737 Lander Rd, Pepper Pike, OH 44124 Phone: 216-831-2255 | |
Ms. Starr Angel Chapin, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 29525 Chagrin Blvd, Ste. 309, Pepper Pike, OH 44122 Phone: 216-464-5592 Fax: 216-464-5593 |