Gretchen Renfro, MSW, LCSW | |
1500 Eisenhower Ln Ste 900, Lisle, IL 60532-2135 | |
(630) 428-7890 | |
Not Available |
Full Name | Gretchen Renfro |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1500 Eisenhower Ln Ste 900, Lisle, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265072615 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149006216 (Illinois) | Primary |
Entity Name | Edgewood Clinical Services P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295914646 PECOS PAC ID: 3971963901 Enrollment ID: O20230721001228 |
Mailing Address | Practice Location Address |
---|---|
Gretchen Renfro, MSW, LCSW 1637 Tulane Dr, Naperville, IL 60565-1736 Ph: (630) 222-3639 | Gretchen Renfro, MSW, LCSW 1500 Eisenhower Ln Ste 900, Lisle, IL 60532-2135 Ph: (630) 428-7890 |
Angela Young, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4745 Main St Ste 207, Lisle, IL 60532 Phone: 630-442-1895 | |
Whitney Lynn Lecocq, LCSW, CADC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1500 Eisenhower Ln Ste 900, Lisle, IL 60532 Phone: 630-428-7890 | |
Dr. Jude M Hines, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2900 Ogden Ave, Lisle, IL 60532 Phone: 630-778-4500 | |
Mrs. Janelle Aldana, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4721 Winchester Ave, Lisle, IL 60532 Phone: 630-877-4014 | |
Amy B Malone, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6040 Lincoln Ave, Lisle, IL 60532 Phone: 630-524-4000 Fax: 630-524-2311 | |
Janell Larson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6040 Lincoln Ave Ste Bc, Lisle, IL 60532 Phone: 630-524-4000 | |
Mr. John Lowell Brom, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4300 Commerce Ct Ste 310, Lisle, IL 60532 Phone: 630-544-3324 Fax: 630-544-3325 |