Kyle Jane Kroha, LCSW | |
1510 W Ottawa Rd, Paxton, IL 60957-4090 | |
(217) 379-4302 | |
(217) 817-0379 |
Full Name | Kyle Jane Kroha |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1510 W Ottawa Rd, Paxton, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376296020 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149027809 (Illinois) | Primary |
Entity Name | Community Resource & Counseling Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972567261 PECOS PAC ID: 6608861174 Enrollment ID: O20040415000893 |
Mailing Address | Practice Location Address |
---|---|
Kyle Jane Kroha, LCSW Po Box 162, Paxton, IL 60957-0162 Ph: (217) 379-4302 | Kyle Jane Kroha, LCSW 1510 W Ottawa Rd, Paxton, IL 60957-4090 Ph: (217) 379-4302 |
Deborah Elizabeth Dorsey, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1510 W Ottawa, Paxton, IL 60957 Phone: 217-379-4302 Fax: 217-379-4306 | |
Amy Cabbage, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1510 W Ottawa, Paxton, IL 60957 Phone: 217-379-4302 Fax: 217-379-4306 | |
Mrs. Ann A Stout, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1510 W Ohawa, Paxton, IL 60957 Phone: 217-379-4302 Fax: 217-379-4306 | |
Jillian Kelly Schlomas, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1510 W Ottawa Rc, Paxton, IL 60918 Phone: 217-379-4302 | |
Carol Schrepfer Colburn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1510 W Ottowa, Paxton, IL 60957 Phone: 217-379-4302 Fax: 217-379-4306 | |
Mr. Robert Patrick Stewart, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1510 W Ottawa Rd, Paxton, IL 60957 Phone: 217-379-4302 Fax: 217-379-4304 |