| Olivewood Counseling | |
|
3400 Bath Pike Suite 510 Bethlehem PA 18017-2466 | |
| (610) 417-0463 | |
| Not Available |
| Full Name | Olivewood Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 3400 Bath Pike, Bethlehem, Pennsylvania |
| Authorized Official Name and Position | Rebecca K Richendollar (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 6104170463 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Olivewood Counseling 3530 Rutgers Dr Bethlehem PA 18020-1465 Ph: () - | Olivewood Counseling 3400 Bath Pike Suite 510 Bethlehem PA 18017-2466 Ph: (610) 417-0463 |
| NPI Number | 1518266782 |
|---|---|
| Provider Enumeration Date | 03/27/2011 |
| Last Update Date | 03/27/2011 |
| Medicare PECOS PAC ID | 2860656642 |
|---|---|
| Medicare Enrollment ID | O20120606000597 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518266782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CW016950 (Pennsylvania) | Primary |
| Provider Name | John D Weaver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497046148 PECOS PAC ID: 0446437594 Enrollment ID: I20110527000187 |
| Provider Name | Susan K Dietrich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437447331 PECOS PAC ID: 3577727353 Enrollment ID: I20120606000670 |
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