Ms Diane Marie Gorman I, LCSW | |
2504 Washington St, Waukegan, IL 60085-4983 | |
(847) 692-6495 | |
Not Available |
Full Name | Ms Diane Marie Gorman I |
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Gender | Female |
Speciality | Clinical Social Worker |
Experience | 38 Years |
Location | 2504 Washington St, Waukegan, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093985848 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Josselyn Center Nfp | 0840289740 | 44 |
Entity Name | Family Service Of Lake County |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649320847 PECOS PAC ID: 5496723397 Enrollment ID: O20040920000184 |
Entity Name | The Josselyn Center Nfp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073548640 PECOS PAC ID: 0840289740 Enrollment ID: O20050525000069 |
Mailing Address | Practice Location Address |
---|---|
Ms Diane Marie Gorman I, LCSW 57 Summit Ave, Park Ridge, IL 60068-4103 Ph: (847) 692-6495 | Ms Diane Marie Gorman I, LCSW 2504 Washington St, Waukegan, IL 60085-4983 Ph: (847) 692-6495 |
Orly Avidor, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2400 Belvidere Rd, Waukegan, IL 60085 Phone: 847-377-8440 | |
Katrina Haywood, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3010 Grand Ave, Waukegan, IL 60085 Phone: 847-377-8296 Fax: 847-984-5689 | |
Mrs. Kathryn Nixon Foster, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 329 N Genesee St, Waukegan, IL 60085 Phone: 847-623-1730 Fax: 847-623-1733 | |
Jacqueline Marolt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3101 E Newcastle Ct, Waukegan, IL 60087 Phone: 262-891-2682 | |
Mrs. Michele L Esser, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3010 Grand Ave, Waukegan, IL 60085 Phone: 847-377-8971 Fax: 847-984-5602 | |
Mr. Eugene Carroll Marceron Jr., LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2025 Washington St, Waukegan, IL 60085 Phone: 847-360-1020 Fax: 847-360-1065 |