Marissa Lynn Latko, | |
11869 Golden Gate Dr, Mokena, IL 60448-2027 | |
(708) 277-4121 | |
Not Available |
Full Name | Marissa Lynn Latko |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 11869 Golden Gate Dr, Mokena, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285112359 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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 |
Entity Name | Hope In Healing Therapy Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639956774 PECOS PAC ID: 5496106296 Enrollment ID: O20240105001850 |
Mailing Address | Practice Location Address |
---|---|
Marissa Lynn Latko, 11869 Golden Gate Dr, Mokena, IL 60448-2027 Ph: (708) 277-4121 | Marissa Lynn Latko, 11869 Golden Gate Dr, Mokena, IL 60448-2027 Ph: (708) 277-4121 |
Angela Dea, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9697 191st St, Mokena, IL 60448 Phone: 630-305-5027 | |
Stephanie Nash, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9435 Bormet Dr Ste 5, Mokena, IL 60448 Phone: 708-995-7226 | |
Lindsay Denise Currie, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9435 Bormet Dr Ste 5, Mokena, IL 60448 Phone: 708-995-7226 Fax: 708-995-7227 | |
Amanda Hutera, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 19805 S La Grange Rd, Mokena, IL 60448 Phone: 708-938-3378 | |
Mr. Jack Patrick Kane Jr., LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9697 191st St, Mokena, IL 60448 Phone: 630-646-6559 | |
Mrs. Tracey Leeann Martin, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9200 W 191st St, Unit 6 Suite 1c, Mokena, IL 60448 Phone: 708-690-8820 |