David Reed Lysakowski, LCSW | |
5900 Bond Ave, Centreville, IL 62207-2326 | |
(619) 332-5302 | |
(618) 332-5285 |
Full Name | David Reed Lysakowski |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 5900 Bond Ave, Centreville, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245816826 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149009090 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
David Reed Lysakowski, LCSW 5900 Bond Ave, Centreville, IL 62207-2326 Ph: (619) 332-5302 | David Reed Lysakowski, LCSW 5900 Bond Ave, Centreville, IL 62207-2326 Ph: (619) 332-5302 |
Lisa Bicket, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5900 Bond Ave, Centreville, IL 62207 Phone: 618-332-5265 Fax: 618-332-4019 | |
Ms. Alecia E Marks, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5900 Bond Ave, Centreville, IL 62207 Phone: 618-332-4053 Fax: 618-332-4019 |