| Michael Mcdonnell, | |
|
22001 Fairmount Blvd, Shaker Heights, OH 44118 | |
| (216) 932-6152 | |
| Not Available |
| Full Name | Michael Mcdonnell |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 22001 Fairmount Blvd, Shaker Heights, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225442437 | NPI | - | NPPES |
| 1473276 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | S.1450279 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | I.1800770 (Ohio) | Primary |
| Entity Name | Equitas Health,inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518227453 PECOS PAC ID: 2769638154 Enrollment ID: O20120830000276 |
| Entity Name | Lower Lights Christian Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033455209 PECOS PAC ID: 5193794188 Enrollment ID: O20140702000762 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Mcdonnell, 22001 Fairmount Blvd, Shaker Heights, OH 44118-4819 Ph: (216) 932-6152 | Michael Mcdonnell, 22001 Fairmount Blvd, Shaker Heights, OH 44118 Ph: (216) 932-6152 |
Mrs. Kerry Katz, LISW-S Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 22001 Fairmount Blvd, Shaker Heights, OH 44118 Phone: 216-320-8458 Fax: 216-932-8520 | |
Pamela Budak, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 22001 Fairmount Blvd, Shaker Heights, OH 44118 Phone: 216-320-8565 | |
Lauren Delmore, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 22001 Fairmount Blvd, Shaker Heights, OH 44118 Phone: 216-320-8482 | |
Jill Sadowsky, MSW, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 22001 Fairmount Blvd, Shaker Heights, OH 44118 Phone: 216-932-2800 | |
Ms. Sally L. Struk, LISW-S, CDCA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 22001 Fairmount Blvd, Shaker Heights, OH 44118 Phone: 216-932-2800 | |
Mrs. Michelle Lynn Majka, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 22001 Fairmount Blvd, Shaker Heights, OH 44118 Phone: 216-320-8325 | |
Mary Bourdrez, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3086 Huntington Rd, Shaker Heights, OH 44120 Phone: 216-798-4541 |