| Melissa Ortiz, LCSW | |
|
1700 S Lincoln Ave, Lebanon, PA 17042-7529 | |
| (717) 272-6621 | |
| Not Available |
| Full Name | Melissa Ortiz |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1700 S Lincoln Ave, Lebanon, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962743765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW126483 (Pennsylvania) | Secondary |
| 1041C0700X | Social Worker - Clinical | CW019376 (Pennsylvania) | Primary |
| Entity Name | Tower Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609291350 PECOS PAC ID: 7618889213 Enrollment ID: O20040311000072 |
| Entity Name | Springfield Psychological Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295705317 PECOS PAC ID: 1456322973 Enrollment ID: O20040805001143 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Ortiz, LCSW 1700 S Lincoln Ave, Lebanon, PA 17042-7529 Ph: (717) 272-6621 | Melissa Ortiz, LCSW 1700 S Lincoln Ave, Lebanon, PA 17042-7529 Ph: (717) 272-6621 |
Yasmin Brown, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 101 Cedar St, Lebanon, PA 17042 Phone: 717-279-5120 | |
Mr. Roger Kevin Kier, M.S.W, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1700 S Lincoln Ave, Lebanon, PA 17042 Phone: 717-272-6621 Fax: 717-228-5949 | |
Mr. Edward Thomas Schlesser, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1700 South Lincon Avenue, Lebanon, PA 17042 Phone: 717-272-6621 | |
Pamela Joan Carr, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1700 S Lincoln Ave Bldg 1, Lebanon, PA 17042 Phone: 717-272-6621 Fax: 717-228-6006 | |
Janine Malin, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 125 Schneider Dr, Lebanon, PA 17046 Phone: 717-376-1020 | |
Shayla Kimmel, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1700 S Lincoln Ave, Lebanon, PA 17042 Phone: 717-648-3645 | |
Julie E Bergstresser, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1700 S Lincoln Ave, 595/500, Lebanon, PA 17042 Phone: 717-272-6621 |