Mrs Sandra Susan Cross, LCSW is a
Counselor - Professional based in Peoria, Illinois. Mrs Sandra Susan Cross is licensed to practice in Illinois (license number 149019468) and her current practice location is
809 W Detweiller Dr Ste 810, Peoria, Illinois. She can be reached at her office (for appointments etc.) via phone at
(309) 264-9517.
NPI number for Mrs Sandra Susan Cross is 1013613892 and her current mailing address is 2522 W Stronehenge Ct, Peoria, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013613892.
Healthcare Provider's Profile
Full Name | Mrs Sandra Susan Cross |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 809 W Detweiller Dr Ste 810, Peoria, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1013613892
- Provider Enumeration Date: 02/03/2023
- Last Update Date: 01/16/2025
Medical Identifiers
Medical identifiers for Mrs Sandra Susan Cross such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013613892 | NPI | - | NPPES |
149019468 | Other | IL | LCSW |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 149019468 (Illinois) | Secondary |
101YP2500X | Counselor - Professional | 149019468 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Sandra Susan Cross is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Sandra Susan Cross, LCSW 2522 W Stronehenge Ct, Peoria, IL 61615 Ph: (309) 264-9517 | Mrs Sandra Susan Cross, LCSW 809 W Detweiller Dr Ste 810, Peoria, IL 61615-2140 Ph: (309) 264-9517 |
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