Ms Mary Theresa Konopinski, MSSA, LSW, LCDC-III is a
Social Worker based in Cleveland, Ohio. Ms Mary Theresa Konopinski is licensed to practice in Ohio (license number S1451383) and her current practice location is
2675 E 30th St, Cleveland, Ohio. She can be reached at her office (for appointments etc.) via phone at
(216) 777-8139.
NPI number for Ms Mary Theresa Konopinski is 1275901423 and her current mailing address is 3899 E 75th St, Cleveland, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275901423.
Healthcare Provider's Profile
| Full Name | Ms Mary Theresa Konopinski |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 2675 E 30th St, Cleveland, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1275901423
- Provider Enumeration Date: 09/04/2015
- Last Update Date: 08/15/2019
Medical Identifiers
Medical identifiers for Ms Mary Theresa Konopinski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1275901423 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 151028 (Ohio) | Secondary |
| 104100000X | Social Worker | S1451383 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Mary Theresa Konopinski is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Ms Mary Theresa Konopinski, MSSA, LSW, LCDC-III 3899 E 75th St, Cleveland, OH 44105-3844 Ph: (440) 789-4703 | Ms Mary Theresa Konopinski, MSSA, LSW, LCDC-III 2675 E 30th St, Cleveland, OH 44115-3000 Ph: (216) 777-8139 |
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