| Nancy Distefano, LISW-S | |
|
7230 Schooners Cv, Concord Twp, OH 44077-9011 | |
| (440) 867-3564 | |
| Not Available |
| Full Name | Nancy Distefano |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 7230 Schooners Cv, Concord Twp, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699124198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1101608 (Ohio) | Primary |
| Entity Name | Psycho Social Therapies,ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750335261 PECOS PAC ID: 9234165424 Enrollment ID: O20051208000882 |
| Entity Name | Cornerstone Behavioral Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700407517 PECOS PAC ID: 4385000587 Enrollment ID: O20230512001969 |
| Mailing Address | Practice Location Address |
|---|---|
| Nancy Distefano, LISW-S 7230 Schooners Cv, Concord Twp, OH 44077-9011 Ph: (440) 867-3564 | Nancy Distefano, LISW-S 7230 Schooners Cv, Concord Twp, OH 44077-9011 Ph: (440) 867-3564 |
Pamela Brunner, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7590 Auburn Rd, Concord Twp, OH 44077 Phone: 440-354-1104 Fax: 440-354-1898 | |
Jeffrey Land, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7048 Bentley Pl, Concord Twp, OH 44077 Phone: 440-352-1535 |