Daniela Michelle Van Pelt, LCSW | |
702 W Chestnut St, Bloomington, IL 61701-2814 | |
(888) 924-3786 | |
(309) 820-3574 |
Full Name | Daniela Michelle Van Pelt |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 702 W Chestnut St, Bloomington, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023622784 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149.022481 (Illinois) | Primary |
Entity Name | Family Institute |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417988155 PECOS PAC ID: 1052460466 Enrollment ID: O20090514000107 |
Mailing Address | Practice Location Address |
---|---|
Daniela Michelle Van Pelt, LCSW 448 Wylie Dr, Normal, IL 61761-5405 Ph: (888) 924-3786 | Daniela Michelle Van Pelt, LCSW 702 W Chestnut St, Bloomington, IL 61701-2814 Ph: (888) 924-3786 |
Hannah Deterding, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 108 W Market St, Bloomington, IL 61701 Phone: 309-827-5351 | |
Sara Fidlow, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1003 Martin Luther King Dr, Bloomington, IL 61701 Phone: 309-827-6026 | |
Jaylene Taubert, MSW LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 712 E Empire St Ste 1, Bloomington, IL 61701 Phone: 309-310-2841 | |
Zoe Jane Baker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 205 N Williamsburg Dr Ste A, Bloomington, IL 61704 Phone: 309-807-5077 | |
Ms. Johanna Rayman, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 200 W Monroe St, Suite 301, Bloomington, IL 61701 Phone: 309-310-5453 | |
Danielle D Beasley, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 108 W Market St, Bloomington, IL 61701 Phone: 309-827-5351 Fax: 309-829-6808 |