Dr Ida Roldan, PHD, LCSW | |
137 N Oak Park Ave, Suite 327, Oak Park, IL 60301-1344 | |
(708) 660-9650 | |
Not Available |
Full Name | Dr Ida Roldan |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 137 N Oak Park Ave, Oak Park, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740346089 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (Illinois) | Primary |
Entity Name | Depth Counseling Services P C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033632104 PECOS PAC ID: 6204235070 Enrollment ID: O20210527001026 |
Mailing Address | Practice Location Address |
---|---|
Dr Ida Roldan, PHD, LCSW 137 N Oak Park Ave, Suite 327, Oak Park, IL 60301-1344 Ph: (708) 660-9650 | Dr Ida Roldan, PHD, LCSW 137 N Oak Park Ave, Suite 327, Oak Park, IL 60301-1344 Ph: (708) 660-9650 |
Amanda Hensley, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 220 S Maple Ave Apt 40, Oak Park, IL 60302 Phone: 847-370-2955 | |
Rachel Hall, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 719 S Humphrey Ave, Oak Park, IL 60304 Phone: 773-510-6418 | |
Mrs. Josephine M Lyles Lynn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1024 N Boulevard, Suite 211, Oak Park, IL 60301 Phone: 708-606-0984 | |
Ms. Pamela L Latos, MSW LCSW ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1024 North Blvd, Suite 209, Oak Park, IL 60301 Phone: 708-358-9000 Fax: 708-387-9451 | |
Mrs. Joan Louise Winston, LCSW, CRADC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1140 Lake St, Suite 504, Oak Park, IL 60301 Phone: 708-802-1532 Fax: 708-386-2278 | |
Dima Dairanieh, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 137 N Oak Park Ave Ste 215, Oak Park, IL 60301 Phone: 630-474-8128 | |
Mrs. Dawn Stewart-walker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 115 N Oak Park Ave, Suite 203, Oak Park, IL 60301 Phone: 708-953-5543 |