| Kevin Thomas Wolter, LCSW | |
|
2272 95th St, Naperville, IL 60564-8942 | |
| (630) 753-9800 | |
| Not Available |
| Full Name | Kevin Thomas Wolter |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 2272 95th St, Naperville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487170551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.024184 (Illinois) | Primary |
| Entity Name | Modify Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457479503 PECOS PAC ID: 8628355963 Enrollment ID: O20170515001583 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Thomas Wolter, LCSW 6830 Carpenter St, Downers Grove, IL 60516-3435 Ph: (224) 406-2056 | Kevin Thomas Wolter, LCSW 2272 95th St, Naperville, IL 60564-8942 Ph: (630) 753-9800 |
Kelsey Wild, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1560 Wall St Ste 204, Naperville, IL 60563 Phone: 815-541-5365 | |
Jeffrey Thomas Burns, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 616 W 5th Ave, Suite B, Naperville, IL 60563 Phone: 630-717-7771 | |
Katharine Waller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 E 5th Ave Ste 109, Naperville, IL 60563 Phone: 331-457-2020 | |
Ms. Janet Ann Greif, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1555 N Naperville Wheaton Rd, Suite 111, Naperville, IL 60563 Phone: 630-258-2133 Fax: 630-961-9830 | |
Kathleen Goldman, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3380 Lacrosse Ln Ste 101, Naperville, IL 60564 Phone: 847-636-8226 | |
Marie Sawyer, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 852 S West St, Naperville, IL 60540 Phone: 630-305-5810 | |
Cheryl Ann Petersen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1770 Park St, Suite 107, Naperville, IL 60563 Phone: 630-355-7055 Fax: 630-427-0565 |