| Ms Mary A Larocque, MSW LCSW | |
|
7806 W Jefferson Blvd Ste C, Fort Wayne, IN 46804-4180 | |
| (260) 203-4188 | |
| (260) 203-5136 |
| Full Name | Ms Mary A Larocque |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 53 Years |
| Location | 7806 W Jefferson Blvd Ste C, Fort Wayne, Indiana |
| 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 |
|---|---|---|---|
| 1851309876 | NPI | - | NPPES |
| 200800080 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34001252A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Von Bargen Associates Inc | 8426011792 | 2 |
| Entity Name | Von Bargen Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366492043 PECOS PAC ID: 8426011792 Enrollment ID: O20050823000675 |
| Entity Name | Pancner Psychiatric Associates, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801019096 PECOS PAC ID: 4789615253 Enrollment ID: O20080208000000 |
| Entity Name | Psychiatric Services P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194913228 PECOS PAC ID: 8628124567 Enrollment ID: O20090918000204 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Mary A Larocque, MSW LCSW 7311a W Jefferson Blvd, Fort Wayne, IN 46804-6237 Ph: (260) 471-8033 | Ms Mary A Larocque, MSW LCSW 7806 W Jefferson Blvd Ste C, Fort Wayne, IN 46804-4180 Ph: (260) 203-4188 |
Alia Osborn, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6526 Hillsboro Ln, Fort Wayne, IN 46835 Phone: 260-494-2205 | |
Nicholas Todoran, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1909 Carew St, Fort Wayne, IN 46805 Phone: 260-481-2800 Fax: 260-969-8442 | |
Jeri Ann Forrest, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1818 Carew St, Suite 230, Fort Wayne, IN 46805 Phone: 260-373-8000 Fax: 260-373-8003 | |
Rikki Lynn Treesh, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4918 Canterbury Dr, Fort Wayne, IN 46835 Phone: 260-241-6191 | |
Ms. Yvonne Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3262 Mallard Cove Ln, Fort Wayne, IN 46804 Phone: 260-580-8508 Fax: 260-755-1451 | |
Deborah Louise Amick, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12333 Southampton Dr, Fort Wayne, IN 46814 Phone: 260-672-0491 | |
Scott Kruse, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2121 Lake Ave, Fort Wayne, IN 46805 Phone: 260-426-5431 Fax: 260-421-1029 |