| Roberta Marie Mosher, LCSW | |
|
3450 Seaman Rd, Oregon, OH 43616-2497 | |
| (727) 205-2077 | |
| Not Available |
| Full Name | Roberta Marie Mosher |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 3450 Seaman Rd, Oregon, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871223917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I2203526 (Ohio) | Primary |
| 1041C0700X | Social Worker - Clinical | 6801117598 (Michigan) | Secondary |
| Entity Name | The Wave International LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588130363 PECOS PAC ID: 9436563376 Enrollment ID: O20221209002048 |
| Mailing Address | Practice Location Address |
|---|---|
| Roberta Marie Mosher, LCSW Po Box 24449, New York, NY 10087-0589 Ph: (833) 351-8255 | Roberta Marie Mosher, LCSW 3450 Seaman Rd, Oregon, OH 43616-2497 Ph: (727) 205-2077 |
Makenzie Danielle Ireland, LISW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 3140 Dustin Rd Ste 1, Oregon, OH 43616 Phone: 567-218-0185 Fax: 419-930-6721 |
Rachel Marie Hartman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 715 S Coy Rd, Oregon, OH 43616 Phone: 419-720-5800 |
Jennifer Wolfe, LISW-S Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3636 Starr Ave, Oregon, OH 43616 Phone: 419-913-6373 |
Michelle Coutcher, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2739 Navarre Ave Ste 302, Oregon, OH 43616 Phone: 567-298-4640 Fax: 567-298-4641 |