| Mrs Antonia G Grimolizzi-jensen, LISW | |
|
1115 N Shoop Ave, Wauseon, OH 43567-1857 | |
| (419) 335-6122 | |
| (419) 318-4157 |
| Full Name | Mrs Antonia G Grimolizzi-jensen |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 33 Years |
| Location | 1115 N Shoop Ave, Wauseon, 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 |
|---|---|---|---|
| 1962577510 | NPI | - | NPPES |
| 0254416 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I.0007266 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | I7266 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Antonia Jensen And Associates Llc | 0042281537 | 2 |
| Entity Name | Antonia Jensen & Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093772733 PECOS PAC ID: 0042281537 Enrollment ID: O20040805001661 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Antonia G Grimolizzi-jensen, LISW Po Box 146, Wauseon, OH 43567-0146 Ph: (419) 335-6122 | Mrs Antonia G Grimolizzi-jensen, LISW 1115 N Shoop Ave, Wauseon, OH 43567-1857 Ph: (419) 335-6122 |
Sandra Kay Pessefall, L.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7320 State Highway 108, Suite A, Wauseon, OH 43567 Phone: 419-335-3732 | |
Natalia Anita Grimolizzi-fasano, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1115 N Shoop Ave Ste 1, Wauseon, OH 43567 Phone: 419-335-6122 | |
Savannah G Short, MSW LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 850 W Elm St, Wauseon, OH 43567 Phone: 413-254-6065 | |
Brenda M Byers, LSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 560 W Linfoot St, Wauseon, OH 43567 Phone: 419-337-1973 Fax: 419-335-6506 | |
Sarah Gruner, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7320 State Highway 108, Ste. A, Wauseon, OH 43567 Phone: 419-335-3732 | |
Ms. Julie Ann Leatherman, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 241 Philomena Dr, Wauseon, OH 43567 Phone: 567-454-0456 | |
Mrs. Karen A. N. Vondeylen, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7320 State Highway 108, Suite A, Wauseon, OH 43567 Phone: 419-335-3732 |