Erica Negrete-sassolino, | |
715 Lake St, Oak Park, IL 60301-1422 | |
(773) 312-3612 | |
Not Available |
Full Name | Erica Negrete-sassolino |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 715 Lake St, 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 |
---|---|---|---|
1699317297 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149020513 (Illinois) | Primary |
Entity Name | Innovative Counseling Partners Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437563798 PECOS PAC ID: 0749605830 Enrollment ID: O20200806001773 |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220414000139 |
Mailing Address | Practice Location Address |
---|---|
Erica Negrete-sassolino, 1021 W 20th Pl, Chicago, IL 60608-3312 Ph: (312) 451-1110 | Erica Negrete-sassolino, 715 Lake St, Oak Park, IL 60301-1422 Ph: (773) 312-3612 |
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 |