| Mrs Eileen J Smith, LICENSED CLINICAL SO | |
|
600 N 2nd St Ste 401, Harrisburg, PA 17101-1071 | |
| (860) 788-6404 | |
| (860) 398-6441 |
| Full Name | Mrs Eileen J Smith |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 600 N 2nd St Ste 401, Harrisburg, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245376490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CW014105 (Pennsylvania) | Primary |
| Entity Name | Meditelecare Of Pennsylvania Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396351847 PECOS PAC ID: 8527488030 Enrollment ID: O20201022002321 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Eileen J Smith, LICENSED CLINICAL SO Po Box 1595, Middletown, CT 06457-8095 Ph: (860) 788-6404 | Mrs Eileen J Smith, LICENSED CLINICAL SO 600 N 2nd St Ste 401, Harrisburg, PA 17101-1071 Ph: (860) 788-6404 |
Mr. Joshua Rafael Vazquez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2501 N 3rd St, Harrisburg, PA 17110 Phone: 717-782-6420 | |
Taylor Hemphill, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2601 N 3rd St, Harrisburg, PA 17110 Phone: 267-482-0764 | |
Nathan Jay Segal, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 N 6th St, Harrisburg, PA 17102 Phone: 717-233-4027 | |
Mrs. Cheryl A Osuch, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1250 N Mountain Rd Ste 308, Harrisburg, PA 17112 Phone: 717-219-4147 | |
Mrs. Cynthia Lyn Galliher, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4918 Locust Ln, Harrisburg, PA 17109 Phone: 717-671-9610 Fax: 717-671-9680 | |
Sarah E Roberts, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2040 Linglestown Rd Ste 109, Harrisburg, PA 17110 Phone: 412-206-6105 | |
Lindsay Snoke, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 221 N 2nd St Apt 303, Harrisburg, PA 17101 Phone: 717-375-4834 |