| Nicolas Mason Dean, MSW/LISW | |
|
615 Churchill Hubbard Rd, Youngstown, OH 44505-1379 | |
| (330) 759-2700 | |
| Not Available |
| Full Name | Nicolas Mason Dean |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 615 Churchill Hubbard Rd, Youngstown, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194591388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I.2203437 (Ohio) | Primary |
| Entity Name | Core Renewal Therapy Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700652997 PECOS PAC ID: 6709302771 Enrollment ID: O20250502001207 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicolas Mason Dean, MSW/LISW 572 Maplewood Ave, Struthers, OH 44471-1133 Ph: (330) 540-0086 | Nicolas Mason Dean, MSW/LISW 615 Churchill Hubbard Rd, Youngstown, OH 44505-1379 Ph: (330) 759-2700 |
Marisa D Mook, LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8440 Market St, Youngstown, OH 44512 Phone: 330-965-9999 Fax: 330-757-0000 | |
Andrea L Catone, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4822 Market St Ste 100, Youngstown, OH 44512 Phone: 330-544-8005 | |
Adreanna Shonelle Mendenhall, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8440 Market St, Youngstown, OH 44512 Phone: 330-965-9999 Fax: 330-757-0000 | |
Desiree J Farragher, MSW, LISW-S Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2980 Belmont Ave, Youngstown, OH 44505 Phone: 330-759-2310 Fax: 330-759-0018 | |
William Theron Aley-byrne, LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 16 Colonial Dr, Youngstown, OH 44505 Phone: 234-232-7501 | |
Tracey Neal, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 80 E Midlothian Blvd, Youngstown, OH 44507 Phone: 330-234-5251 | |
Olivia M Coontz, CDCA, QMHS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 711 Belmont Ave, Youngstown, OH 44502 Phone: 330-793-2487 Fax: 330-743-5748 |