Kathleen Brewer, | |
2108 Coronet Rd, Loves Park, IL 61111-3213 | |
(815) 216-5974 | |
Not Available |
Full Name | Kathleen Brewer |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2108 Coronet Rd, Loves 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 |
---|---|---|---|
1568971760 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | Empowered Journeys Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376396820 PECOS PAC ID: 1850834375 Enrollment ID: O20240625000820 |
Mailing Address | Practice Location Address |
---|---|
Kathleen Brewer, 2108 Coronet Rd, Loves Park, IL 61111-3213 Ph: () - | Kathleen Brewer, 2108 Coronet Rd, Loves Park, IL 61111-3213 Ph: (815) 216-5974 |
Christina Samulevich, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5681 Whispering Way, Loves Park, IL 61111 Phone: 847-494-3528 | |
Margot Elisabeth Castillo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 437 Theodore St, Loves Park, IL 61111 Phone: 815-985-9695 | |
Mary Theresa Trujillo, LCSW, MSW, PEL Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1613 Evans Ave, Loves Park, IL 61111 Phone: 815-505-7051 | |
Kirsten Ahlberg, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9951 Rock Cut Xing, Loves Park, IL 61111 Phone: 815-639-8500 | |
Victoria M. Hominick, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7124 Windsor Lake Pkwy, Suite 17, Loves Park, IL 61111 Phone: 815-282-1807 Fax: 815-282-1003 | |
Tara White, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6268 E Riverside Blvd, Loves Park, IL 61111 Phone: 815-397-2224 | |
Christina Morris, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6268 E Riverside Blvd, Loves Park, IL 61111 Phone: 815-397-2224 Fax: 815-397-2225 |