| Mrs Shannon Rae Speaks, LISW-S | |
|
56 Milford Dr, Hudson, OH 44236-2704 | |
| (216) 245-5213 | |
| Not Available |
| Full Name | Mrs Shannon Rae Speaks |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 22 Years |
| Location | 56 Milford Dr, Hudson, 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 |
|---|---|---|---|
| 1073122313 | NPI | - | NPPES |
| I.0900288-SUPV | Other | OH | OHIO COUNSELOR, SOCIAL WORKER & MARRIAGE AND FAMILY THERAPIST BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I.0900288-SUPV (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kelly Reeves Memorial Foundation | 2961885314 | 4 |
| Entity Name | Kelly Reeves Memorial Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295220986 PECOS PAC ID: 2961885314 Enrollment ID: O20220817001683 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Shannon Rae Speaks, LISW-S 6933 Saint Regis Blvd, Hudson, OH 44236-3224 Ph: (330) 554-1196 | Mrs Shannon Rae Speaks, LISW-S 56 Milford Dr, Hudson, OH 44236-2704 Ph: (216) 245-5213 |
Mrs. Tessa Claire Basco, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 591 Boston Mills Rd Ste 550, Hudson, OH 44236 Phone: 234-269-6200 Fax: 234-602-2192 | |
Caitlin Hagg, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 581 Boston Mills Rd Ste 400, Hudson, OH 44236 Phone: 234-348-4459 | |
Kami Imes, LISW-S Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 591 Boston Mills Rd Ste 550, Hudson, OH 44236 Phone: 234-269-6200 Fax: 234-602-2192 | |
Mrs. Juliane Christine Belisle, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 591 Boston Mills Rd Ste 550, Hudson, OH 44236 Phone: 234-269-6200 Fax: 234-602-2192 | |
Russell Alan Buckbee, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 72 Village Way Ste 1a, Hudson, OH 44236 Phone: 330-655-2674 | |
Jennifer Turk, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Bradley Dr, Hudson, OH 44236 Phone: 216-849-2825 |