Mrs Kristin Michelle Krivickas, LCSW, CRADC | |
2215 14th St, North Chicago, IL 60064-1618 | |
(847) 984-5231 | |
Not Available |
Full Name | Mrs Kristin Michelle Krivickas |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2215 14th St, North Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073814067 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149015278 (Illinois) | Primary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 30486 (Illinois) | Secondary |
Entity Name | County Of Lake |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164446712 PECOS PAC ID: 7214838861 Enrollment ID: O20040116000192 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kristin Michelle Krivickas, LCSW, CRADC 343 Stevens Ct, Grayslake, IL 60030-3532 Ph: (847) 691-4840 | Mrs Kristin Michelle Krivickas, LCSW, CRADC 2215 14th St, North Chicago, IL 60064-1618 Ph: (847) 984-5231 |
Ms. Shirley Ann Hoffman, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3001 Green Bay Rd, North Chicago, IL 60064 Phone: 224-610-5901 Fax: 224-610-2949 | |
Sherisa R Benson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3001 Green Bay Rd, Bldg 131/rm63, North Chicago, IL 60064 Phone: 847-456-5536 | |
Michelle Therese Dubil, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3001 Green Bay Rd, North Chicago, IL 60064 Phone: 847-688-1900 | |
Ms. Susan Margaret Regan, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3001 Green Bay Rd, North Chicago, IL 60064 Phone: 224-610-2018 | |
Ms. Karen Lee Banky-livasy, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3001 Green Bay Rd, North Chicago, IL 60064 Phone: 224-610-3719 Fax: 224-610-3885 | |
Justin Padaoan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3001 Green Bay Rd, North Chicago, IL 60064 Phone: 847-688-1800 | |
Mr. Sam Abraham, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3001 Green Bay Rd, Bldg 131, Room 132, North Chicago, IL 60064 Phone: 224-610-5833 |