| Roger J Mize, LISW | |
|
462 Chardon St, Painesville, OH 44077-3019 | |
| (440) 853-1501 | |
| Not Available |
| Full Name | Roger J Mize |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 462 Chardon St, Painesville, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962615518 | NPI | - | NPPES |
| 0157240 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I.0004936-SUPV (Ohio) | Primary |
| Entity Name | Signature Health, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679767289 PECOS PAC ID: 8628970985 Enrollment ID: O20040126000762 |
| Mailing Address | Practice Location Address |
|---|---|
| Roger J Mize, LISW 462 Chardon St, Painesville, OH 44077-3019 Ph: () - | Roger J Mize, LISW 462 Chardon St, Painesville, OH 44077-3019 Ph: (440) 853-1501 |
Jennifer Dzugan, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1083 Mentor Ave, Painesville, OH 44077 Phone: 440-358-7370 | |
Sarah Yenkevich, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7234 S Holmes Pl, Painesville, OH 44077 Phone: 440-667-3310 | |
Jeffery Schafer, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1486 Forestbrook Ln, Painesville, OH 44077 Phone: 330-620-5957 | |
Shavonne Morgan, MSW,LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 180 W Washington St, Painesville, OH 44077 Phone: 440-354-2094 | |
Jennifer Lynn Baker, MSSA, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1083 Mentor Ave, Painesville, OH 44077 Phone: 440-358-7370 | |
Mr. Thomas Harold Coss, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 54 S State St, Suite 204, Painesville, OH 44077 Phone: 440-357-6740 Fax: 440-350-0506 | |
Miss Amy Korsch, MSSA, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 41 E Erie St, Lower Level, Painesville, OH 44077 Phone: 440-358-7370 Fax: 440-358-7373 |