| Mr Jerry Thomas Souta Jr, LCSW | |
|
1414 Main St, Melrose Park, IL 60160-3902 | |
| (708) 681-0073 | |
| (708) 681-3958 |
| Full Name | Mr Jerry Thomas Souta Jr |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 1414 Main St, Melrose Park, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831259829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jerry Thomas Souta Jr, LCSW 21459 W Basswood Ln, Plainfield, IL 60544-6367 Ph: (815) 483-5188 | Mr Jerry Thomas Souta Jr, LCSW 1414 Main St, Melrose Park, IL 60160-3902 Ph: (708) 681-0073 |
Lindsay T. Janowski, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1414 Main St, Melrose Park, IL 60160 Phone: 708-681-4357 Fax: 708-681-2285 | |
Lisa K Hendrickson, BA, MHP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1414 Main St, Melrose Park, IL 60160 Phone: 708-681-0073 | |
Ms. Pamela M Berkowitz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1414 Main St, Melrose Park, IL 60160 Phone: 708-681-0073 Fax: 708-681-3958 | |
Gloria Ibarra, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1414 Main St, Melrose Park, IL 60160 Phone: 708-681-0073 | |
Mr. Donald Eugene Pinkston Jr., LCSW, CADC, QHEIC Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1414 Main St, Melrose Park, IL 60160 Phone: 708-681-0073 Fax: 708-681-3958 | |
Sarah Grebasch, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1111 Superior St, Melrose Park, IL 60160 Phone: 708-406-3040 | |
Miss Christine Catherine Szewczyk, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1414 Main St, Melrose Park, IL 60160 Phone: 708-681-0073 Fax: 708-681-3958 |