| Mrs Eileen F Bline, LISW-S | |
|
195 Union St Ste B1, Newark, OH 43055-3998 | |
| (740) 349-7066 | |
| (740) 345-6028 |
| Full Name | Mrs Eileen F Bline |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 195 Union St Ste B1, Newark, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427249044 | NPI | - | NPPES |
| 10193 | Medicaid | OH | |
| 31-0711374 | Other | OH | TAX ID# |
| 1376607374 | Other | OH | ORGANIZATION NPI# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I-0008947 (Ohio) | Primary |
| Entity Name | Providers For Healthy Living |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083905830 PECOS PAC ID: 3577972918 Enrollment ID: O20210514001035 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Eileen F Bline, LISW-S 540 Officenter Pl Ste 160, Gahanna, OH 43230-5351 Ph: (614) 664-3595 | Mrs Eileen F Bline, LISW-S 195 Union St Ste B1, Newark, OH 43055-3998 Ph: (740) 349-7066 |
Elizabeth R Chalfant, LISW-S, LICDC Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 14 Sandalwood Dr, Newark, OH 43055 Phone: 740-349-7511 Fax: 740-522-4263 | |
Kimberly Lynne Sandbrink, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 65 Messimer Dr, Newark, OH 43055 Phone: 740-522-8477 Fax: 740-788-3424 | |
Tonya M Mcalear, MSW, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 120 N 21st St, Newark, OH 43055 Phone: 740-522-0009 | |
Mrs. Judith Ann Bickmeyer, MSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 65 Messimer Dr, Newark, OH 43055 Phone: 740-522-8477 Fax: 740-788-3401 | |
Jessica Shaffer, LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 15 N 3rd St, Suite 200, Newark, OH 43055 Phone: 740-349-7511 Fax: 740-522-4263 | |
Kirstyn Paige Bashaw, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2112 Cherry Valley Rd, Newark, OH 43055 Phone: 614-908-0090 | |
Karla Jean Redman I, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15 N 3rd St Ste 300, Newark, OH 43055 Phone: 740-349-7511 |