Carol Carpenter, LCSW | |
161 Northfield Rd, Northfield, IL 60093-3309 | |
(847) 784-6079 | |
Not Available |
Full Name | Carol Carpenter |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 161 Northfield Rd, Northfield, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396928156 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149.012780 (Illinois) | Primary |
Entity Name | Vitae Health Of Illinois Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174013452 PECOS PAC ID: 2365798410 Enrollment ID: O20180703002838 |
Mailing Address | Practice Location Address |
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Carol Carpenter, LCSW 161 Northfield Rd, Northfield, IL 60093-3309 Ph: (847) 784-6079 | Carol Carpenter, LCSW 161 Northfield Rd, Northfield, IL 60093-3309 Ph: (847) 784-6079 |
Virginia Klein Gordon, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 464 Central Ave, Northfield, IL 60093 Phone: 847-433-5133 | |
Lori Kathleen Wodziak, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 405 Central Ave, Northfield, IL 60093 Phone: 847-532-6333 | |
Jack Gerard Cox, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 456 W Frontage Rd, Suite 28, Northfield, IL 60093 Phone: 847-220-2224 | |
Mr. George L Pauley, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 464 Central Ave, #30, Northfield, IL 60093 Phone: 847-446-5545 | |
Heather Marie Sauer Katz, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 Central Ave, Suite 200, Northfield, IL 60093 Phone: 773-343-2318 | |
Katherine Elizabeth Ruocco, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 405 Central Ave, Northfield, IL 60093 Phone: 224-290-1205 | |
Ms. Vicki L Shaffer, M.S.W., L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 550w Frontage Rd 2730, Northfield, IL 60093 Phone: 847-386-6070 |