Ms Lynnette Janel Thomas, LCSW | |
3903 Indianapolis Blvd, East Chicago, IN 46312-2555 | |
(219) 398-7050 | |
(219) 392-6998 |
Full Name | Ms Lynnette Janel Thomas |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 3903 Indianapolis Blvd, East Chicago, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649492034 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149002724 (Illinois) | Secondary |
1041C0700X | Social Worker - Clinical | 34005362A (Indiana) | Primary |
Entity Name | Southlake Community Mental Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821081290 PECOS PAC ID: 5991600355 Enrollment ID: O20031231000117 |
Mailing Address | Practice Location Address |
---|---|
Ms Lynnette Janel Thomas, LCSW 21 Scrementi Ln, Steger, IL 60475-1096 Ph: (708) 756-7167 | Ms Lynnette Janel Thomas, LCSW 3903 Indianapolis Blvd, East Chicago, IN 46312-2555 Ph: (219) 398-7050 |
Ms. Cynthia R Bejster, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3903 Indianapolis Blvd, East Chicago, IN 46312 Phone: 219-392-6065 Fax: 219-392-6998 | |
Gary Mitchell Ronjak, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3903 Indianapolis Blvd, East Chicago, IN 46312 Phone: 219-398-7050 Fax: 219-392-6998 | |
Angelia Marie Erb, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3903 Indianapolis Blvd, East Chicago, IN 46312 Phone: 219-398-7050 Fax: 219-392-6998 | |
Ms. Juanita C Matlock, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4321 Fir St, East Chicago, IN 46312 Phone: 219-392-7469 | |
Rondi Wightman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3903 Indianapolis Blvd, East Chicago, IN 46312 Phone: 219-398-2555 Fax: 219-757-1950 | |
Ruth Ann Dekker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3903 Indianapolis Blvd, East Chicago, IN 46312 Phone: 219-398-7050 Fax: 219-392-6998 | |
Angela C Tucker-griffith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4321 Fir St, East Chicago, IN 46312 Phone: 219-392-7466 Fax: 219-392-7470 |