Layne Kirch, LCSW | |
111 E Main St, St Charles, IL 60174-1948 | |
(630) 587-3777 | |
Not Available |
Full Name | Layne Kirch |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 111 E Main St, St Charles, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790133056 | NPI | - | NPPES |
474579189001 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149024688 (Illinois) | Primary |
Entity Name | Dekalb Behavioral Health Foundation, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255703450 PECOS PAC ID: 9436451655 Enrollment ID: O20160111000872 |
Mailing Address | Practice Location Address |
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Layne Kirch, LCSW Po Box 1109, Dekalb, IL 60115-7109 Ph: (815) 756-4875 | Layne Kirch, LCSW 111 E Main St, St Charles, IL 60174-1948 Ph: (630) 587-3777 |
Nancy Robin Krtek, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 473 Dunham Rd, Suite 216, St Charles, IL 60174 Phone: 716-359-6402 | |
Luz M Happel, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 405 Illinois Ave Unit 2c, St Charles, IL 60174 Phone: 630-377-3535 Fax: 630-377-6703 | |
Jennifer Blandford, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 303 N 2nd St Ste 21, Suite 21, St Charles, IL 60174 Phone: 630-618-8887 | |
Stephanie Santo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 111 E Main St, St Charles, IL 60174 Phone: 630-587-3777 | |
Stephanie Clorinda Stavropoulos, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3103 Easton Pl, St Charles, IL 60175 Phone: 630-806-6767 | |
Mrs. Lauren Danae Matovu, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 303 N 2nd St Ste 21, St Charles, IL 60174 Phone: 630-797-9864 | |
Mrs. Katherine D. Brosier, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 409 Illinois Ave Unit 1a, St Charles, IL 60174 Phone: 847-622-3812 |