| Bonnie Eidens Lisw, Ceap, Llc | |
|
850 S Broadway Geneva OH 44041-9146 | |
| (440) 813-5071 | |
| (440) 466-0969 |
| Full Name | Bonnie Eidens Lisw, Ceap, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 850 S Broadway, Geneva, Ohio |
| Authorized Official Name and Position | Bonnie Louise Eidens (OWNER) |
| Authorized Official Contact | 4408135071 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bonnie Eidens Lisw, Ceap, Llc 850 S Broadway Geneva OH 44041-9146 Ph: (440) 813-5071 | Bonnie Eidens Lisw, Ceap, Llc 850 S Broadway Geneva OH 44041-9146 Ph: (440) 813-5071 |
| NPI Number | 1619105699 |
|---|---|
| Provider Enumeration Date | 06/29/2009 |
| Last Update Date | 06/29/2009 |
| Medicare PECOS PAC ID | 3678626900 |
|---|---|
| Medicare Enrollment ID | O20090804000014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619105699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Bonnie L Eidens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457331563 PECOS PAC ID: 5597668590 Enrollment ID: I20040128000663 |
Cassie Eaton, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 Greenridge Dr, Geneva, OH 44041 Phone: 440-941-5722 Fax: 440-579-0135 | |
Eileen Leininger Phd Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 794 S Broadway, Geneva, OH 44041 Phone: 440-466-7055 Fax: 440-466-3455 |