| Tia Hale, LISW-S | |
|
4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | |
| (937) 257-6877 | |
| Not Available |
| Full Name | Tia Hale |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 11 Years |
| Location | 4881 Sugar Maple Dr, Wright Patterson Afb, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114470242 | NPI | - | NPPES |
| 0344932 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I.1901646 (Ohio) | Primary |
| 171M00000X | Case Manager/care Coordinator | S.1502499 (Ohio) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tailor Made Therapeutic Services Llc | 8325497381 | 2 |
| Entity Name | Access Counseling Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073884524 PECOS PAC ID: 4880844513 Enrollment ID: O20121015000652 |
| Entity Name | Tailor Made Therapeutic Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376235762 PECOS PAC ID: 8325497381 Enrollment ID: O20231215001793 |
| Mailing Address | Practice Location Address |
|---|---|
| Tia Hale, LISW-S 312 Sharon Ct, Middletown, OH 45042-4947 Ph: (513) 571-7850 | Tia Hale, LISW-S 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 Ph: (937) 257-6877 |
Mrs. Carole B Muller, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4881 Sugar Maple Dr, 88mdg/sgohs, Wright Patterson Afb, OH 45433 Phone: 937-257-4121 |
Mrs. Andrea Irons, MSW, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4881 Sugar Maple Dr, 88 Mdos/sgohf, Wright Patterson Afb, OH 45433 Phone: 937-257-6429 Fax: 937-656-1402 |
Vanessa Leona Robinson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 601-307-4371 |
Ms. Angel Lynn Martin, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 937-257-9968 |
Jacquelyn M Griffin, MSW, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 88 Mdg, 4881 Suger Maple Dr., Wright Patterson Afb, OH 45433 Phone: 937-257-6639 |
Mrs. Marlyna Hidalgo, SOCIAL WORKER Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4881 Sugar Maple Dr, 88th Medical Group/sgohl, Wright Patterson Afb, OH 45433 Phone: 937-257-6429 |
Mr. William Graham Wall, LICSW, BCD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4881 Sugar Maple Dr, Wright Patterson Medical Center, Wright Patterson Afb, OH 45433 Phone: 937-257-6876 |