Mr Patrick Carlson, LCSW | |
4703 44th St, Suite 3, Rock Island, IL 61201-7189 | |
(309) 788-9581 | |
(309) 788-9608 |
Full Name | Mr Patrick Carlson |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 4703 44th St, Rock Island, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659480721 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149.006576 (Illinois) | Primary |
Entity Name | The Center For Youth And Family Solutions Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972876258 PECOS PAC ID: 5193970390 Enrollment ID: O20130219000113 |
Mailing Address | Practice Location Address |
---|---|
Mr Patrick Carlson, LCSW 844 43rd St, Rock Island, IL 61201-2226 Ph: (309) 788-9581 | Mr Patrick Carlson, LCSW 4703 44th St, Suite 3, Rock Island, IL 61201-7189 Ph: (309) 788-9581 |
Mrs. Kimberly Jo Allen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4703 44th St, Rock Island, IL 61201 Phone: 309-788-9581 Fax: 309-788-9608 | |
Janna Elizabeth Richards, L.C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2701 17th St, Rock Island, IL 61201 Phone: 309-779-2800 | |
Kathryn Elizabeth Lally, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4703 44th St, Rock Island, IL 61201 Phone: 309-788-9581 | |
Nicholas Markovich, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 208 18th St, Suite 208, Rock Island, IL 61201 Phone: 309-283-7361 Fax: 309-283-7362 | |
Rita Baugh, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Rock Island Arsenal, Gillespie St. Bldg. 131, Rock Island, IL 61299 Phone: 309-782-5143 | |
Evan Harris, LCSW, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 19th St Ste 102, Rock Island, IL 61201 Phone: 309-236-9553 | |
Amber Michelle Dopler, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4703 44th St Ste 3, Rock Island, IL 61201 Phone: 309-788-9581 Fax: 309-788-9608 |