Jennifer Noonan, LCSW | |
4900 Broadway, Gary, IN 46408-4605 | |
(219) 237-5170 | |
(219) 321-1931 |
Full Name | Jennifer Noonan |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 4900 Broadway, Gary, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386645331 | NPI | - | NPPES |
000000333652 | Other | IN | ANTHEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 9290 (Tennessee) | Secondary |
1041C0700X | Social Worker - Clinical | 34004751A (Indiana) | Primary |
Entity Name | Southlake Community Mental Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821081290 PECOS PAC ID: 5991600355 Enrollment ID: O20031231000117 |
Entity Name | Oak Street Health Physicians Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083051643 PECOS PAC ID: 7517109879 Enrollment ID: O20150608000402 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Noonan, LCSW 30 W Monroe St Ste 1200, Chicago, IL 60603-2420 Ph: (312) 733-9730 | Jennifer Noonan, LCSW 4900 Broadway, Gary, IN 46408-4605 Ph: (219) 237-5170 |
Mora Spicer Ii, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1100 W 6th Ave, Gary, IN 46402 Phone: 219-885-4264 | |
Mr. Kenneth Earl Abrams Jr., MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4795 Broadway, Gary, IN 46409 Phone: 219-887-3688 Fax: 219-887-2666 | |
Elaine Spicer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1225 N Warren St, Gary, IN 46403 Phone: 219-512-2642 | |
Francisco Javier Ramirez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1100 W 6th Ave, Gary, IN 46402 Phone: 219-885-4264 | |
Virni Webb, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1100 W 6th Ave, Gary, IN 46402 Phone: 219-885-4264 Fax: 219-427-1672 | |
Cynthia Oliver, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2179 Grant St, Gary, IN 46404 Phone: 219-944-7767 |