| Mr Jaimie Albert Wells I, MSSA LISW-S | |
|
1224 Giel Ave, Lakewood, OH 44107-2718 | |
| (216) 521-7353 | |
| Not Available |
| Full Name | Mr Jaimie Albert Wells I |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 23 Years |
| Location | 1224 Giel Ave, Lakewood, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548683584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0010006 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sondermind Provider Network Llc | 9537572490 | 874 |
| Entity Name | Sondermind Provider Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210316002509 |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220604000326 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jaimie Albert Wells I, MSSA LISW-S 1224 Giel Ave, Lakewood, OH 44107-2718 Ph: (216) 521-7353 | Mr Jaimie Albert Wells I, MSSA LISW-S 1224 Giel Ave, Lakewood, OH 44107-2718 Ph: (216) 521-7353 |
Salina R Stuart, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14837 Detroit Ave # 193, Lakewood, OH 44107 Phone: 216-302-4077 Fax: 888-684-5911 | |
Georgiana W. Gray, M.S.S.A., L.I.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15200 Madison Ave, Lakewood, OH 44107 Phone: 216-402-9188 | |
Lisa Michelle Wiborg, LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2160 Arthur Ave, Lakewood, OH 44107 Phone: 330-671-4963 | |
Dawn L Golba, LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 15200 Madison Ave, Lakewood, OH 44107 Phone: 440-260-6117 Fax: 216-529-1630 | |
Amy J. Lipka, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 17222 Clifton Blvd, Lakewood, OH 44107 Phone: 216-406-4368 | |
Ilana Spaulding, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1457 Larchmont Ave, Lakewood, OH 44107 Phone: 734-649-8865 | |
Ms. Elizabeth K. Biddulph, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12029 Clifton Blvd Apt 101, Lakewood, OH 44107 Phone: 216-355-2198 |