Ms Ruth Mellenthin, LCSW | |
1803 W Willow Ln, Mt Prospect, IL 60056-4412 | |
(312) 810-2601 | |
Not Available |
Full Name | Ms Ruth Mellenthin |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1803 W Willow Ln, Mt Prospect, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104206655 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149-018650 (Illinois) | Primary |
104100000X | Social Worker | 150-013328 (Illinois) | Secondary |
Entity Name | Rodasi Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467691790 PECOS PAC ID: 0749418630 Enrollment ID: O20140123000856 |
Mailing Address | Practice Location Address |
---|---|
Ms Ruth Mellenthin, LCSW 1803 W Willow Ln, Mt Prospect, IL 60056-4412 Ph: (312) 810-2601 | Ms Ruth Mellenthin, LCSW 1803 W Willow Ln, Mt Prospect, IL 60056-4412 Ph: (312) 810-2601 |
Jean Ackermans, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 800 E Northwest Hwy, 106, Mt Prospect, IL 60056 Phone: 847-909-9858 | |
Eileen Martinez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 800 E Northwest Hwy, Suite 106, Mt Prospect, IL 60056 Phone: 630-862-0834 | |
Meridian Ruby, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1585 Dempster St, Mt Prospect, IL 60056 Phone: 847-621-2040 | |
Nicole M Tolentino, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 616 S William St, Mt Prospect, IL 60056 Phone: 847-630-5425 | |
Mr. George E Becker, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 800 E Northwest Hwy, #106, Mt Prospect, IL 60056 Phone: 847-909-7635 |