Richard Melton, LCSW | |
5003 135th St Apt 7, Crestwood, IL 60445-1498 | |
(630) 499-8304 | |
Not Available |
Full Name | Richard Melton |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 5003 135th St Apt 7, Crestwood, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104209063 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149010753 (Illinois) | Primary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220414000139 |
Mailing Address | Practice Location Address |
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Richard Melton, LCSW 5003 135th St Apt 7, Crestwood, IL 60445-1498 Ph: (630) 499-8304 | Richard Melton, LCSW 5003 135th St Apt 7, Crestwood, IL 60445-1498 Ph: (630) 499-8304 |
Nicole Rodriguez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13000 W Playfield Dr, Crestwood, IL 60418 Phone: 708-250-3068 | |
Mrs. Adelaida Maravillas, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5440 Highland Ct, Crestwood, IL 60418 Phone: 708-439-7819 | |
Mrs. Sarah Ann Evans, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13020 S Central Ave, Crestwood, IL 60418 Phone: 708-293-3664 | |
Amy Lynn Sertich, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 14255 Cicero Ave, Crestwood, IL 60418 Phone: 708-371-0400 |