| Thomas J Carder, | |
| 612 E Bristol St, Elkhart, IN 46514-3479 | |
| (574) 266-2050 | |
| Not Available | 
| Full Name | Thomas J Carder | 
|---|---|
| Gender | Male | 
| Speciality | Social Worker - Clinical | 
| Location | 612 E Bristol St, Elkhart, Indiana | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1467471466 | NPI | - | NPPES | 
| 000000203078 | Other | IN | BCBS | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 39000378A (Indiana) | Primary | 
| Entity Name | Northeastern Center Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1720140908 PECOS PAC ID: 6709795636 Enrollment ID: O20040605000289 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Thomas J Carder, Po Box 965, Elkhart, IN 46515-0965 Ph: (574) 266-2050 | Thomas J Carder, 612 E Bristol St, Elkhart, IN 46514-3479 Ph: (574) 266-2050 | 
| Steven D Bright, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2600 Oakland Ave, Elkhart, IN 46517 Phone: 574-533-1234 Fax: 574-537-2652 | |
| Ronald L Shoemaker, LSCW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2600 Oakland Ave, Elkhart, IN 46517 Phone: 574-533-1234 Fax: 574-537-2652 | |
| Angela Gingerich,  Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1004 Parkway Ave, Suite D, Elkhart, IN 46516 Phone: 574-293-0005 | |
| Patricia L Carnegie, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2600 Oakland Ave, Elkhart, IN 46517 Phone: 574-533-1234 Fax: 574-537-2652 | |
| Gwendolyn K Preheim-bartel, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2600 Oakland Ave, Elkhart, IN 46517 Phone: 574-533-1234 Fax: 574-537-2652 | |
| Mr. Larry L Rupp, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3040a Windsor Ct, Elkhart, IN 46514 Phone: 574-262-1088 Fax: 574-262-9516 | |
| Melissa Alvarez, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2710 Turner St Apt A, Elkhart, IN 46517 Phone: 574-747-7024 |