| Brenda J. Stone Llc | |
| 
					10617 Stoneham Dr Powell OH 43065-7454  | |
| (614) 832-3408 | |
| Not Available | 
| Full Name | Brenda J. Stone Llc | 
|---|---|
| Speciality | Social Worker | 
| Location | 10617 Stoneham Dr, Powell, Ohio | 
| Authorized Official Name and Position | Brenda Joy Stone (CLINICAL SOCIAL WORKER) | 
| Authorized Official Contact | 6148323408 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Brenda J. Stone Llc 10617 Stoneham Dr Powell OH 43065-7454 Ph: (614) 832-3408  | Brenda J. Stone Llc 10617 Stoneham Dr Powell OH 43065-7454 Ph: (614) 832-3408  | 
| NPI Number | 1992416929 | 
|---|---|
| Provider Enumeration Date | 12/09/2022 | 
| Last Update Date | 12/09/2022 | 
| Certification Date | 12/09/2022 | 
| Medicare PECOS PAC ID | 5294191482 | 
|---|---|
| Medicare Enrollment ID | O20230512001946 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1992416929 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary | 
| Provider Name | Brenda Stone | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1144356775 PECOS PAC ID: 5193181394 Enrollment ID: I20230512002328  | 
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