Mr Dominic John Caputa, LCSW | |
3010 Grand Ave, First Floor, Waukegan, IL 60085-2321 | |
(847) 377-8972 | |
(847) 377-8803 |
Full Name | Mr Dominic John Caputa |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 3010 Grand Ave, Waukegan, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851672398 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149008473 (Illinois) | Primary |
Entity Name | Counseling Center Of Grayslake Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194267385 PECOS PAC ID: 7214214378 Enrollment ID: O20170427002620 |
Mailing Address | Practice Location Address |
---|---|
Mr Dominic John Caputa, LCSW 3010 Grand Ave, First Floor, Waukegan, IL 60085-2321 Ph: (847) 377-8972 | Mr Dominic John Caputa, LCSW 3010 Grand Ave, First Floor, Waukegan, IL 60085-2321 Ph: (847) 377-8972 |
Orly Avidor, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2400 Belvidere Rd, Waukegan, IL 60085 Phone: 847-377-8440 | |
Katrina Haywood, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3010 Grand Ave, Waukegan, IL 60085 Phone: 847-377-8296 Fax: 847-984-5689 | |
Mrs. Kathryn Nixon Foster, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 329 N Genesee St, Waukegan, IL 60085 Phone: 847-623-1730 Fax: 847-623-1733 | |
Jacqueline Marolt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3101 E Newcastle Ct, Waukegan, IL 60087 Phone: 262-891-2682 | |
Mrs. Michele L Esser, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3010 Grand Ave, Waukegan, IL 60085 Phone: 847-377-8971 Fax: 847-984-5602 | |
Mr. Eugene Carroll Marceron Jr., LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2025 Washington St, Waukegan, IL 60085 Phone: 847-360-1020 Fax: 847-360-1065 | |
Ms. Diane Marie Gorman I, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2504 Washington St, Waukegan, IL 60085 Phone: 847-692-6495 |