Kim P Staneluis, LISWLICDC
Kim P Staneluis, LISWLICDC is a Clinical Social Worker in Maumee, Ohio. Qualified in 1971, 55 years ago. Practices with Acorn Counseling LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Ohio.
- Years since qualifying
- 55
- Licensed in
- OH
- In the registry since
- 2006
Practice location Address checks out
109 W Wayne StMaumee, OH 43537-2150
Phone: (419) 893-8432
Fax: (419) 891-5403
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence I0001046 (OH) |
|---|
Record details
| NPI number | 1770657579 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LISWLICDC |
| Sole proprietor | No |
| NPI enumerated | November 20, 2006 |
| Last updated in NPPES | June 14, 2011 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 1971 (55 years in practice) |
| Group practice | Acorn Counseling Llc — 2 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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Alysa Rohrer
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Jamie Wlosowicz
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Mrs. Beth Ann Wong I, LSW
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