Mr Shawn Wayne Slagle, LCSW | |
2970 Chartres St, La Salle, IL 61301-1097 | |
(815) 223-9678 | |
(815) 223-9683 |
Full Name | Mr Shawn Wayne Slagle |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 18 Years |
Location | 2970 Chartres St, La Salle, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043463268 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149013269 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Illinois Valley Counseling Services | 0244467066 | 6 |
Entity Name | Illinois Valley Counseling Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134568249 PECOS PAC ID: 0244467066 Enrollment ID: O20131224000001 |
Mailing Address | Practice Location Address |
---|---|
Mr Shawn Wayne Slagle, LCSW 5000 S 5th Ave, Hines, IL 60141-3030 Ph: (815) 223-9678 | Mr Shawn Wayne Slagle, LCSW 2970 Chartres St, La Salle, IL 61301-1097 Ph: (815) 223-9678 |
Mrs. Michal Y Goldstein, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2970 Chartres St, La Salle, IL 61301 Phone: 815-223-9678 | |
Nicole Heather Tonioni, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2428 Chartres St, La Salle, IL 61301 Phone: 815-780-8765 | |
Ronda Ketner, L.C.S.W Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2960 Chartres St, La Salle, IL 61301 Phone: 815-224-1610 | |
Jani Hurst, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2428 Chartres St, La Salle, IL 61301 Phone: 815-780-8765 | |
David Lee Martin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2960 Chartres St, La Salle, IL 61301 Phone: 815-224-1610 | |
Ms. Kimberly Forristall, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2960 Chartres St, La Salle, IL 61301 Phone: 815-224-1610 Fax: 815-223-1634 |