Robert Lincoln Mock, LCSW | |
1629 E Gardner Ln, Peoria Heights, IL 61616-3613 | |
(309) 685-1545 | |
Not Available |
Full Name | Robert Lincoln Mock |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 1629 E Gardner Ln, Peoria Heights, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487409397 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149.026754 (Illinois) | Primary |
Entity Name | Vitae Health Of Illinois Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174013452 PECOS PAC ID: 2365798410 Enrollment ID: O20180703002838 |
Mailing Address | Practice Location Address |
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Robert Lincoln Mock, LCSW 7327 N Manning Dr, Peoria, IL 61614-1917 Ph: (720) 985-4311 | Robert Lincoln Mock, LCSW 1629 E Gardner Ln, Peoria Heights, IL 61616-3613 Ph: (309) 685-1545 |
Maureen Sue Anderson, SOCIAL WORKER Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4700 N Prospect Rd, A1, Peoria Heights, IL 61616 Phone: 309-682-3915 | |
Mary Ann Eichorn, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4700 N Prospect Rd, Suite A-1, Peoria Heights, IL 61616 Phone: 309-679-1700 Fax: 309-679-0703 | |
Megan Stickelmaier, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4450 N Prospect Rd, Peoria Heights, IL 61616 Phone: 309-863-5133 | |
Mrs. Cristina Lynn Mugrage, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4700 N Prospect Rd, Suite A1, Peoria Heights, IL 61616 Phone: 309-212-3606 Fax: 888-474-1956 | |
Jessica Lynn Wooden, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 712 E War Memorial Dr Ste D, Peoria Heights, IL 61616 Phone: 309-326-5820 Fax: 309-403-0346 | |
Amanda M Crusen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4806 N Prospect Rd, Peoria Heights, IL 61616 Phone: 309-712-7996 |