| Mrs Lori A Makos, LCSW | |
|
114 East Ave, Wellsboro, PA 16901-1737 | |
| (570) 723-0620 | |
| (570) 724-0675 |
| Full Name | Mrs Lori A Makos |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 114 East Ave, Wellsboro, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417189382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CW017287 (Pennsylvania) | Primary |
| Entity Name | Matthew A Berger Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275617508 PECOS PAC ID: 5991791212 Enrollment ID: O20040422000697 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lori A Makos, LCSW 32-36 Central Ave, Wellsboro, PA 16901-1840 Ph: (570) 723-0574 | Mrs Lori A Makos, LCSW 114 East Ave, Wellsboro, PA 16901-1737 Ph: (570) 723-0620 |
William Douglas Chancellor, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 105 West Ave, Wellsboro, PA 16901 Phone: 570-723-0620 Fax: 570-724-0675 | |
Tyler O Benelli, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 114 East Ave, Wellsboro, PA 16901 Phone: 570-723-0620 Fax: 570-724-0675 | |
Alyssa Hoffman, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 114 East Ave, Wellsboro, PA 16901 Phone: 570-723-0620 Fax: 570-724-0675 | |
Susan Groover-van Pelt, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 62 Plaza Ln, Wellsboro, PA 16901 Phone: 570-724-7142 Fax: 570-724-6771 | |
Richard Hayford, MS, BSL Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 62 Plaza Ln, Wellsboro, PA 16901 Phone: 570-724-7142 Fax: 570-724-6771 | |
Erika Peterson, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 62 Plaza Ln, Wellsboro, PA 16901 Phone: 570-724-7142 Fax: 570-724-6771 |