| Theresa O Wilson, LISW-S, SAP | |
|
130 1st St Nw, Massillon, OH 44647-5452 | |
| (330) 833-0234 | |
| (330) 837-7705 |
| Full Name | Theresa O Wilson |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 130 1st St Nw, Massillon, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821362286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I.1000025-SUPV (Ohio) | Primary |
| Entity Name | Coleman Professional Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982637633 PECOS PAC ID: 2769474618 Enrollment ID: O20040331001085 |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa O Wilson, LISW-S, SAP 625 Cleveland Ave Nw, Canton, OH 44702-1805 Ph: (330) 455-0374 | Theresa O Wilson, LISW-S, SAP 130 1st St Nw, Massillon, OH 44647-5452 Ph: (330) 833-0234 |
Kathleen Terry, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7317 Portage St Nw, Massillon, OH 44646 Phone: 330-966-1620 | |
Rebecca M Ajah, MSW, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1680 Nave Rd Se, Massillon, OH 44646 Phone: 330-830-8740 Fax: 330-830-0912 | |
Anya L Mack, LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1660 Nave Rd Se, Massillon, OH 44646 Phone: 330-837-9411 Fax: 330-837-4603 | |
Binoy Joseph, Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 8251 Edmund Court Cir Nw, Massillon, OH 44646 Phone: 234-458-1652 | |
Jeffrey Roby, Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 256 21st St Nw, Massillon, OH 44647 Phone: 330-815-5258 | |
Ms. Angela Lynn Parson, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1660 Nave Rd Se, Massillon, OH 44646 Phone: 330-453-8252 Fax: 330-453-6716 | |
Heather Christine Armstrong, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3000 Erie St S, Massillon, OH 44646 Phone: 330-833-3135 Fax: 330-833-7327 |