| Kyla Kerry Donovan, LCSW | |
|
55 E Loop Rd Ste 301, Wheaton, IL 60189-1938 | |
| (231) 736-9847 | |
| Not Available |
| Full Name | Kyla Kerry Donovan |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 55 E Loop Rd Ste 301, Wheaton, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770242349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 150102873 (Illinois) | Primary |
| Entity Name | Edgewood Clinical Services P.c. |
|---|---|
| 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 |
|---|---|
| Kyla Kerry Donovan, LCSW 1980 Lancaster Ln Apt 208, Wheaton, IL 60189-8570 Ph: (231) 736-9847 | Kyla Kerry Donovan, LCSW 55 E Loop Rd Ste 301, Wheaton, IL 60189-1938 Ph: (231) 736-9847 |
Kathryn P Bach, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1608 Cavalier Ct, Wheaton, IL 60189 Phone: 630-561-6070 | |
Mark Charles Macdonald, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 W Roosevelt Rd, Suite A2, Wheaton, IL 60187 Phone: 630-462-8810 Fax: 630-462-8820 | |
Mrs. Molly Alice Ryan Wollenweber, LCSW, CADC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 128 S County Farm Rd Ste C, Wheaton, IL 60187 Phone: 630-423-2350 | |
Mr. Kenton James Withrow, LCSW, CADC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1530 N Main St, Wheaton, IL 60187 Phone: 630-653-6400 Fax: 630-653-6490 | |
Maria Guadalupe Echeverria, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 222 E Willow Ave, Wheaton, IL 60187 Phone: 630-784-4805 | |
Mrs. Kelly Elizabeth Reilly, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 112 N Erie St, Wheaton, IL 60187 Phone: 630-518-1545 | |
Randolph Paul Andersen, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 128 S County Farm Rd Ste C, Wheaton, IL 60187 Phone: 630-447-8818 |