Rachel M Redmond, LISW | |
10547 Montgomery Rd # 700, Montgomery, OH 45242-4418 | |
(888) 830-0347 | |
Not Available |
Full Name | Rachel M Redmond |
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Gender | Female |
Speciality | Social Worker |
Location | 10547 Montgomery Rd # 700, Montgomery, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487130498 | NPI | - | NPPES |
0311055 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | I.2304627 (Ohio) | Secondary |
104100000X | Social Worker | I.2304627-SUPV (Ohio) | Primary |
104100000X | Social Worker | S.1803187 (Ohio) | Secondary |
Entity Name | Mindfully Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972702520 PECOS PAC ID: 3476606252 Enrollment ID: O20090727000253 |
Mailing Address | Practice Location Address |
---|---|
Rachel M Redmond, LISW 10805 Lake Thames Dr Apt D, Cincinnati, OH 45242-3119 Ph: (513) 277-1275 | Rachel M Redmond, LISW 10547 Montgomery Rd # 700, Montgomery, OH 45242-4418 Ph: (888) 830-0347 |
Stranda Thurman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10547 Montgomery Rd, Montgomery, OH 45242 Phone: 888-295-2083 | |
Claire Perry, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10547 Montgomery Rd Ste 700, Montgomery, OH 45242 Phone: 513-939-0300 |