Mrs Patty Lorraine Cook, MSW, LISW | |
2701 17th St, Rock Island, IL 61201-5351 | |
(309) 779-2800 | |
Not Available |
Full Name | Mrs Patty Lorraine Cook |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2701 17th 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 |
---|---|---|---|
1629384573 | NPI | - | NPPES |
208833012 | Other | IL | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 006969 (Iowa) | Secondary |
1041C0700X | Social Worker - Clinical | 149014607 (Illinois) | Primary |
Entity Name | Deer Oaks Mid West Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154978476 PECOS PAC ID: 2264762681 Enrollment ID: O20190927002974 |
Mailing Address | Practice Location Address |
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Mrs Patty Lorraine Cook, MSW, LISW 2701 17th St, Rock Island, IL 61201-5351 Ph: (309) 779-2800 | Mrs Patty Lorraine Cook, MSW, LISW 2701 17th St, Rock Island, IL 61201-5351 Ph: (309) 779-2800 |
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 |