| Trisha Palencer, LCSW, LCAC | |
|
1115 Ronald Reagan Pkwy Ste 383, Avon, IN 46123-6914 | |
| (317) 217-2711 | |
| Not Available |
| Full Name | Trisha Palencer |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 10 Years |
| Location | 1115 Ronald Reagan Pkwy Ste 383, Avon, Indiana |
| 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 |
|---|---|---|---|
| 1972067353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34007885A (Indiana) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 87001597A (Indiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Iu Health West Hospital | Avon, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Indiana University Health West Hospital, Inc | 1456257682 | 2 |
| Entity Name | Indiana University Health West Hospital, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801815832 PECOS PAC ID: 1456257682 Enrollment ID: O20120305000472 |
| Mailing Address | Practice Location Address |
|---|---|
| Trisha Palencer, LCSW, LCAC 1115 Ronald Reagan Pkwy Ste 383, Avon, IN 46123-6914 Ph: (317) 217-2711 | Trisha Palencer, LCSW, LCAC 1115 Ronald Reagan Pkwy Ste 383, Avon, IN 46123-6914 Ph: (317) 217-2711 |
Chloe Ellese Schroeter, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6655 East Us Hwy 36, Avon, IN 46123 Phone: 888-714-1927 | |
Melanie Gibbs, MSW,LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6845 E Us Highway 36 Ste 500, Avon, IN 46123 Phone: 216-468-5000 | |
Mr. Chris C Hamm, LCSW, ACSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6655 E Us Highway 36, Avon, IN 46123 Phone: 317-272-3334 Fax: 317-272-3331 | |
Christina Davis, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7315 Autumn Ct, Avon, IN 46123 Phone: 317-627-2483 | |
Madelyn Taylor Hardwick, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6845 E Us Highway 36 Ste 500, Avon, IN 46123 Phone: 812-247-8010 | |
M Dawn Newman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6655 E U S 36, Avon, IN 46123 Phone: 317-272-3330 Fax: 317-272-3331 | |
Bryon L Ross, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6655 E Us Highway 36, Avon, IN 46123 Phone: 317-272-3330 Fax: 317-272-0807 |