| Ms Susan Marie Russell, LISW-S | |
|
217 W Homestead St, Medina, OH 44256-3129 | |
| (330) 840-9385 | |
| Not Available |
| Full Name | Ms Susan Marie Russell |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 217 W Homestead St, Medina, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235348137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I0700087 (Ohio) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 011327 (Ohio) | Secondary |
| Entity Name | Cornerstone Psychological & Counseling Services Of Northeast Ohio |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144612300 PECOS PAC ID: 1052631868 Enrollment ID: O20150519001575 |
| Entity Name | Heart Centered Health And Wellness Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720827512 PECOS PAC ID: 4082149893 Enrollment ID: O20241202003620 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Susan Marie Russell, LISW-S 217 W Homestead St, Medina, OH 44256-3129 Ph: (330) 840-9385 | Ms Susan Marie Russell, LISW-S 217 W Homestead St, Medina, OH 44256-3129 Ph: (330) 840-9385 |
Mrs. Lynne M Cardilino, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2756 Stony Hill Rd, Medina, OH 44256 Phone: 216-978-6032 | |
Megan Kish, LSW, LCDC III Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 246 Northland Dr, Medina, OH 44256 Phone: 330-725-9195 | |
Carolyn Lechner, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3591 Reserve Commons Dr Ste 301, Medina, OH 44256 Phone: 330-764-7916 | |
Mrs. Teresa L Mowen, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 246 Northland Dr, Ste. 200a, Medina, OH 44256 Phone: 330-725-9195 Fax: 330-725-9187 | |
Susan Brewer, LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3591 Reserve Commons Dr, Suite 301, Medina, OH 44256 Phone: 330-764-7916 Fax: 330-723-6399 | |
Manon Paquet-satrape, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 246 Northland Dr Ste 140, Medina, OH 44256 Phone: 330-723-9600 | |
Meredith Hansen, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 221 W Liberty St, Medina, OH 44256 Phone: 330-722-4166 Fax: 330-725-5792 |