| Ms Lisette Cazares, LCSW | |
|
3176 Lancer St, Portage, IN 46368-4408 | |
| (219) 763-8857 | |
| (219) 762-7318 |
| Full Name | Ms Lisette Cazares |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 20 Years |
| Location | 3176 Lancer St, Portage, 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 |
|---|---|---|---|
| 1205968385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34006201A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Porter-starke Services Inc | 1951293554 | 34 |
| Entity Name | Porter-starke Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689627598 PECOS PAC ID: 1951293554 Enrollment ID: O20040330000098 |
| Entity Name | New Harvest Therapy Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407341787 PECOS PAC ID: 7810232006 Enrollment ID: O20181204001362 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Lisette Cazares, LCSW 3176 Lancer St, Portage, IN 46368-4408 Ph: (219) 763-8857 | Ms Lisette Cazares, LCSW 3176 Lancer St, Portage, IN 46368-4408 Ph: (219) 763-8857 |
Ashvin O Sheth, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3007 Cordele St, Portage, IN 46368 Phone: 219-762-3419 | |
Elise D Daxe, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3176 Lancer St, Portage, IN 46368 Phone: 219-762-9557 | |
Sally Ann Primus, MSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3176 Lancer St, Suite 501, Portage, IN 46368 Phone: 219-762-9557 Fax: 219-762-7318 | |
Abby Collyard, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2323 Mercury St, Portage, IN 46368 Phone: 219-809-8264 | |
Pamela Calica Saylor, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3060 Willowcreek Rd Ste A, Portage, IN 46368 Phone: 219-294-2782 Fax: 219-294-2781 | |
Michelle Lynn Mcbrayer, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6050 Sterling Creek Rd, Portage, IN 46368 Phone: 219-763-8112 Fax: 219-764-5380 |