| Nicole Kelleher, | |
|
9930 Johnnycake Ridge Rd Ste 4f, Mentor, OH 44060-6762 | |
| (440) 579-5100 | |
| Not Available |
| Full Name | Nicole Kelleher |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 9930 Johnnycake Ridge Rd Ste 4f, Mentor, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326552183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I.2203556 (Ohio) | Primary |
| 171M00000X | Case Manager/care Coordinator | (NU) | Secondary |
| Entity Name | Grow Healthcare Group PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220604000326 |
| Entity Name | Neo Counseling Services, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528421252 PECOS PAC ID: 8224401898 Enrollment ID: O20230301001365 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Kelleher, 9930 Johnnycake Ridge Rd Ste 4f, Mentor, OH 44060-6762 Ph: (440) 579-5100 | Nicole Kelleher, 9930 Johnnycake Ridge Rd Ste 4f, Mentor, OH 44060-6762 Ph: (440) 579-5100 |
Kathryn M Dann, MSW, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7547 Mentor Ave Ste 300, Mentor, OH 44060 Phone: 440-701-6170 Fax: 440-527-8043 |
Ophira Dar, Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 8500 Station St, Mentor, OH 44060 Phone: 440-721-8979 |
Melissa Weber, LSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7232 Justin Way, Mentor, OH 44060 Phone: 440-578-8200 |
Mr. Evan Andrew Langholt, MSSA LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7350 Palisades Pkwy, Mentor, OH 44060 Phone: 440-918-1000 Fax: 440-918-1029 |
Yih-ting Huang Merk, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7232 Justin Way, Mentor, OH 44060 Phone: 440-578-8200 |
Mr. Harry Michael Core, LISW MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9500 Mentor Avenue, Ste 320, Mentor, OH 44060 Phone: 440-639-1221 Fax: 440-639-1112 |
Ms. Susan W Goldhamer, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8445 Munson Rd, Mentor, OH 44060 Phone: 440-255-1700 Fax: 440-205-2417 |