Anthony Pellegrini, LCSW | |
3903 Indianapolis Blvd, East Chicago, IN 46312-2555 | |
(219) 392-6001 | |
(219) 392-6998 |
Full Name | Anthony Pellegrini |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 23 Years |
Location | 3903 Indianapolis Blvd, East Chicago, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932225497 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 34005712A (Indiana) | Primary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 87000261A (Indiana) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southlake Community Mental Health Center Inc | 5991600355 | 39 |
Duneland Counseling Center Inc | 7810958949 | 5 |
Entity Name | Southlake Community Mental Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821081290 PECOS PAC ID: 5991600355 Enrollment ID: O20031231000117 |
Entity Name | Duneland Counseling Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528181476 PECOS PAC ID: 7810958949 Enrollment ID: O20041022000201 |
Mailing Address | Practice Location Address |
---|---|
Anthony Pellegrini, LCSW 8400 Louisiana St, Merrillville, IN 46410-6385 Ph: (219) 757-1928 | Anthony Pellegrini, LCSW 3903 Indianapolis Blvd, East Chicago, IN 46312-2555 Ph: (219) 392-6001 |
Ms. Cynthia R Bejster, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3903 Indianapolis Blvd, East Chicago, IN 46312 Phone: 219-392-6065 Fax: 219-392-6998 | |
Gary Mitchell Ronjak, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3903 Indianapolis Blvd, East Chicago, IN 46312 Phone: 219-398-7050 Fax: 219-392-6998 | |
Angelia Marie Erb, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3903 Indianapolis Blvd, East Chicago, IN 46312 Phone: 219-398-7050 Fax: 219-392-6998 | |
Ms. Juanita C Matlock, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4321 Fir St, East Chicago, IN 46312 Phone: 219-392-7469 | |
Rondi Wightman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3903 Indianapolis Blvd, East Chicago, IN 46312 Phone: 219-398-2555 Fax: 219-757-1950 | |
Ruth Ann Dekker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3903 Indianapolis Blvd, East Chicago, IN 46312 Phone: 219-398-7050 Fax: 219-392-6998 | |
Angela C Tucker-griffith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4321 Fir St, East Chicago, IN 46312 Phone: 219-392-7466 Fax: 219-392-7470 |