Ms Kelly Derr, LCSW | |
9435 Bormet Dr Ste 5, Mokena, IL 60448-7401 | |
(708) 995-7226 | |
Not Available |
Full Name | Ms Kelly Derr |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 28 Years |
Location | 9435 Bormet Dr Ste 5, Mokena, 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 |
---|---|---|---|
1912468927 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149016583 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Great Changes Counseling Services, P.c. | 3375718604 | 5 |
Entity Name | Great Changes Counseling Services, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205137346 PECOS PAC ID: 3375718604 Enrollment ID: O20111214000693 |
Mailing Address | Practice Location Address |
---|---|
Ms Kelly Derr, LCSW 425 N Broadway St, Coal City, IL 60416-1044 Ph: (815) 584-7730 | Ms Kelly Derr, LCSW 9435 Bormet Dr Ste 5, Mokena, IL 60448-7401 Ph: (708) 995-7226 |
Angela Dea, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9697 191st St, Mokena, IL 60448 Phone: 630-305-5027 | |
Stephanie Nash, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9435 Bormet Dr Ste 5, Mokena, IL 60448 Phone: 708-995-7226 | |
Lindsay Denise Currie, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9435 Bormet Dr Ste 5, Mokena, IL 60448 Phone: 708-995-7226 Fax: 708-995-7227 | |
Amanda Hutera, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 19805 S La Grange Rd, Mokena, IL 60448 Phone: 708-938-3378 | |
Mr. Jack Patrick Kane Jr., LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9697 191st St, Mokena, IL 60448 Phone: 630-646-6559 | |
Mrs. Tracey Leeann Martin, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9200 W 191st St, Unit 6 Suite 1c, Mokena, IL 60448 Phone: 708-690-8820 | |
Marissa Lynn Latko, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11869 Golden Gate Dr, Mokena, IL 60448 Phone: 708-277-4121 |