| Mrs Carrie A Sellers, LISW | |
|
1392 High St Ste 205, Wadsworth, OH 44281-8257 | |
| (330) 227-4518 | |
| (855) 975-3166 |
| Full Name | Mrs Carrie A Sellers |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 22 Years |
| Location | 1392 High St Ste 205, Wadsworth, 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 |
|---|---|---|---|
| 1326203928 | NPI | - | NPPES |
| 0369772 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I 0700059-S (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Psych Foundations, Llc | 5597161026 | 4 |
| Entity Name | Psych Foundations, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871165498 PECOS PAC ID: 5597161026 Enrollment ID: O20210909001131 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Carrie A Sellers, LISW 1392 High St Ste 205, Wadsworth, OH 44281-8257 Ph: (330) 227-4518 | Mrs Carrie A Sellers, LISW 1392 High St Ste 205, Wadsworth, OH 44281-8257 Ph: (330) 227-4518 |
Jacqueline Storey, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 680 High St Ste A, Wadsworth, OH 44281 Phone: 208-313-4093 | |
Ray Leonard Humpal, ACSW, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 416 College St, Suite A, Wadsworth, OH 44281 Phone: 330-334-1655 | |
Kimberly Rae Patton, LISW-S, LICDC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 140 Wadsworth Rd, Wadsworth, OH 44281 Phone: 440-623-3845 | |
Christine Napier Andrews, MSSA, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 416 College St Ste A, Wadsworth, OH 44281 Phone: 330-334-1655 Fax: 330-334-1655 | |
Ms. Cheryl Max Van Dyke, M.S.S.A. Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 680 High St Ste A, Wadsworth, OH 44281 Phone: 330-631-2333 | |
Jan Marie Maynor, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 680 High St, Ste A, Wadsworth, OH 44281 Phone: 330-690-2337 Fax: 330-822-6955 |