Mrs Lindsey Nicole Fae Smith, LCSW | |
207 E Church St Unit A, Sandwich, IL 60548-2299 | |
(815) 786-8606 | |
(815) 785-1541 |
Full Name | Mrs Lindsey Nicole Fae Smith |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 207 E Church St Unit A, Sandwich, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881217123 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149.021553 (Illinois) | Primary |
Entity Name | Centennial Counseling Center, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376544387 PECOS PAC ID: 7416959390 Enrollment ID: O20070206000185 |
Mailing Address | Practice Location Address |
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Mrs Lindsey Nicole Fae Smith, LCSW 1315 Butterfield Rd Ste 608, Downers Grove, IL 60515-5602 Ph: () - | Mrs Lindsey Nicole Fae Smith, LCSW 207 E Church St Unit A, Sandwich, IL 60548-2299 Ph: (815) 786-8606 |
Jon D Hsieh, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 207 E Church St, Suite A, Sandwich, IL 60548 Phone: 815-786-8606 Fax: 815-786-1541 | |
Mrs. Sarah R Nourzad, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1769 Suzy St, Sandwich, IL 60548 Phone: 815-970-0303 | |
Jennifer Erin Geltz, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 207 E Church St Unit A, Sandwich, IL 60548 Phone: 815-786-8606 Fax: 815-786-1541 | |
Nicole M Mcdonald-martinez, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 207 E Church St, Suite A, Sandwich, IL 60548 Phone: 815-786-8606 Fax: 815-786-1541 | |
Gabriella Elizabeth Chalfin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1467 Nova Rd, Sandwich, IL 60548 Phone: 815-579-2901 | |
Kathleen Marie Berry, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1852 W Church St, Sandwich, IL 60548 Phone: 815-786-7016 |