| Kimberly Ann Mains, BA | |
|
435 W 4th St, Williamsport, PA 17701-6001 | |
| (570) 322-7873 | |
| (570) 322-8026 |
| Full Name | Kimberly Ann Mains |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 15 Years |
| Location | 435 W 4th St, Williamsport, Pennsylvania |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174855126 | NPI | - | NPPES |
| 100777700036 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | CW025694 (Pennsylvania) | Secondary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220512002242 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Ann Mains, BA 435 W 4th St, Williamsport, PA 17701-6001 Ph: (570) 322-7873 | Kimberly Ann Mains, BA 435 W 4th St, Williamsport, PA 17701-6001 Ph: (570) 322-7873 |
Tanya Leigh Starr, Counselor Medicare: Not Enrolled in Medicare Practice Location: 435 W 4th St, Williamsport, PA 17701 Phone: 570-322-7873 Fax: 570-322-8026 | |
Alyssa Lea Knauber, Counselor Medicare: Medicare Enrolled Practice Location: 1000 Commerce Park Dr Ste 110, Williamsport, PA 17701 Phone: 570-323-6944 | |
Lori Kahler Brown, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 Commerce Park Dr Ste 110, Williamsport, PA 17701 Phone: 570-323-6944 | |
Mrs. Channon M Cunningham, MSW, LCSW, CAC/CCDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 460 Market St, Ste 114, Williamsport, PA 17701 Phone: 570-212-9481 | |
Ms. Tonya Rene Anderson, CMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 435 W 4th St, Williamsport, PA 17701 Phone: 570-322-7873 Fax: 570-322-8026 | |
Kathleen E Soccio, BSL, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1521 Washington Blvd, Williamsport, PA 17701 Phone: 570-322-5051 Fax: 570-322-6788 | |
Makayla Sementelli, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 Commerce Park Dr Ste 110, Williamsport, PA 17701 Phone: 877-907-7970 |