| Mr Matthew Groff, LCSW | |
|
1100 Grampian Blvd, Williamsport, PA 17701-1909 | |
| (570) 320-7525 | |
| (570) 320-7484 |
| Full Name | Mr Matthew Groff |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 1100 Grampian Blvd, Williamsport, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336578046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CW018791 (Pennsylvania) | Primary |
| 101YM0800X | Counselor - Mental Health | SW130518 (Pennsylvania) | Secondary |
| Entity Name | Susquehanna Physician Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205870904 PECOS PAC ID: 2264336460 Enrollment ID: O20040225000410 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Matthew Groff, LCSW 1201 Grampian Blvd, Williamsport, PA 17701-1900 Ph: () - | Mr Matthew Groff, LCSW 1100 Grampian Blvd, Williamsport, PA 17701-1909 Ph: (570) 320-7525 |
Laurel Lea Spencer, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 435 W 4th St, Williamsport, PA 17701 Phone: 570-322-7873 Fax: 570-322-8026 | |
Mrs. Lyndsey M Stiger, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1000 Commerce Park Dr, Suite 110, Williamsport, PA 17701 Phone: 570-323-6944 Fax: 570-323-6944 | |
Tanya D Frey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1000 Commerce Park Dr, Suite 110, Williamsport, PA 17701 Phone: 570-323-6944 Fax: 570-323-4529 | |
John C Youngman, MSW,CSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1000 Commerce Park Dr, Suite 110, Williamsport, PA 17701 Phone: 570-323-6944 Fax: 570-323-4529 | |
Mrs. Kelly Goff, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 836 Faxon Pkwy, Williamsport, PA 17701 Phone: 814-577-0394 | |
Mrs. Brandy Lachelle Thompson-fisher, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 123 Valley Heights Dr, Williamsport, PA 17701 Phone: 570-651-9087 |