| Mr Michael James Polichetti, MSW, LISW | |
|
165 E Park Ave, Niles, OH 44446-2352 | |
| (330) 544-8005 | |
| (330) 544-9379 |
| Full Name | Mr Michael James Polichetti |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 165 E Park Ave, Niles, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578092359 | NPI | - | NPPES |
| 0278508 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I.2002052-SUPV (Ohio) | Primary |
| Entity Name | Mercy Health Physicians Youngstown Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649892225 PECOS PAC ID: 3476950296 Enrollment ID: O20210921003835 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael James Polichetti, MSW, LISW 230 Heritage Ln, Cortland, OH 44410-1118 Ph: (716) 672-9411 | Mr Michael James Polichetti, MSW, LISW 165 E Park Ave, Niles, OH 44446-2352 Ph: (330) 544-8005 |
Christy Blazek, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1500 Mckinley Ave, Niles, OH 44446 Phone: 330-953-3300 | |
Kimberly Lehmenkuler, MSW, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 165 E Park Ave, Niles, OH 44446 Phone: 330-544-8005 Fax: 330-544-9379 | |
Jenna Lynn Fierro, MSW, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 165 E Park Ave, Niles, OH 44446 Phone: 330-544-8005 Fax: 330-544-9379 | |
Jillian Priscilla, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 165 E Park Ave, Niles, OH 44446 Phone: 330-544-8005 Fax: 330-544-9379 | |
Mrs. Alicia Lynn Stoner, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 43 N Main St, Niles, OH 44446 Phone: 330-544-8005 Fax: 330-544-9379 | |
Shelby Day, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 165 E Park Ave, Niles, OH 44446 Phone: 330-544-8005 Fax: 330-544-9379 | |
Christina Danielle Anderson, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 165 E Park Ave, Niles, OH 44446 Phone: 330-544-8005 Fax: 330-544-9379 |