Lisa Ann Rodriguez, LCSW | |
811 E Humphrey Ave, Rock Falls, IL 61071-2020 | |
(815) 275-0745 | |
Not Available |
Full Name | Lisa Ann Rodriguez |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 23 Years |
Location | 811 E Humphrey Ave, Rock Falls, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336816107 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149.01592 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Blue Moon Senior Counseling Of Illinois Llc | 7012172893 | 30 |
Entity Name | Blue Moon Senior Counseling Of Illinois Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841562931 PECOS PAC ID: 7012172893 Enrollment ID: O20120628000431 |
Mailing Address | Practice Location Address |
---|---|
Lisa Ann Rodriguez, LCSW 811 E Humphrey Ave, Rock Falls, IL 61071-2020 Ph: (815) 275-0745 | Lisa Ann Rodriguez, LCSW 811 E Humphrey Ave, Rock Falls, IL 61071-2020 Ph: (815) 275-0745 |
Susan Wilhelm, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1300 W 2nd St, Rock Falls, IL 61071 Phone: 815-625-2230 | |
Ms. Tracy Marie Banks-geiger, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1300 W 2nd St, Rock Falls, IL 61071 Phone: 815-626-2232 | |
Mr. Douglas Eugene Mitchem, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1600 Riverdale Rd Lot 42, Rock Falls, IL 61071 Phone: 815-441-4195 | |
Mrs. Briena Wyckstandt, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1300 W 2nd St, Rock Falls, IL 61071 Phone: 815-626-2230 | |
David Bingaman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1300 W 2nd St, Rock Falls, IL 61071 Phone: 815-626-2230 |