| Nicole Goodwin, LPC | |
|
1070 Old National Pike, Fredericktown, PA 15333-2114 | |
| (724) 632-6801 | |
| Not Available |
| Full Name | Nicole Goodwin |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 4 Years |
| Location | 1070 Old National Pike, Fredericktown, Pennsylvania |
| 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 |
|---|---|---|---|
| 1255163416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centerville Clinics Inc | 7214837202 | 37 |
| Entity Name | Centerville Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235110156 PECOS PAC ID: 7214837202 Enrollment ID: O20100720000684 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Goodwin, LPC 1070 Old National Pike, Fredericktown, PA 15333-2114 Ph: (724) 632-6801 | Nicole Goodwin, LPC 1070 Old National Pike, Fredericktown, PA 15333-2114 Ph: (724) 632-6801 |
Shelby Duke, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1070 Old National Pike, Fredericktown, PA 15333 Phone: 724-632-6801 | |
Maryann Fee, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1070 Old National Pike, Fredericktown, PA 15333 Phone: 724-632-6801 | |
Chelsea Marie Wood, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1070 Old National Pike, Fredericktown, PA 15333 Phone: 724-632-6801 | |
Thais Irene Bagiatis, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1070 Old National Pike, Fredericktown, PA 15333 Phone: 724-632-6801 | |
Heather Ann Little, B.S.W. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1070 Old National Pike, Fredericktown, PA 15333 Phone: 724-632-6801 | |
Lisa Korzun, Counselor Medicare: Medicare Enrolled Practice Location: 1070 Old National Pike, Fredericktown, PA 15333 Phone: 724-632-6801 |