Shawn Nowotnik, LCSW | |
100 Illinois St, St Charles, IL 60174-1866 | |
(331) 575-4858 | |
(708) 468-4991 |
Full Name | Shawn Nowotnik |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 100 Illinois St, St Charles, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740947373 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149023973 (Illinois) | Primary |
Entity Name | Blue Lavender Clinical Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932879459 PECOS PAC ID: 7214306661 Enrollment ID: O20221207002095 |
Mailing Address | Practice Location Address |
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Shawn Nowotnik, LCSW 100 Illinois St Ste 200, St Charles, IL 60174-1867 Ph: (331) 575-4858 | Shawn Nowotnik, LCSW 100 Illinois St, St Charles, IL 60174-1866 Ph: (331) 575-4858 |
Nancy Robin Krtek, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 473 Dunham Rd, Suite 216, St Charles, IL 60174 Phone: 716-359-6402 | |
Luz M Happel, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 405 Illinois Ave Unit 2c, St Charles, IL 60174 Phone: 630-377-3535 Fax: 630-377-6703 | |
Jennifer Blandford, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 303 N 2nd St Ste 21, Suite 21, St Charles, IL 60174 Phone: 630-618-8887 | |
Stephanie Santo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 111 E Main St, St Charles, IL 60174 Phone: 630-587-3777 | |
Stephanie Clorinda Stavropoulos, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3103 Easton Pl, St Charles, IL 60175 Phone: 630-806-6767 | |
Mrs. Lauren Danae Matovu, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 303 N 2nd St Ste 21, St Charles, IL 60174 Phone: 630-797-9864 | |
Mrs. Katherine D. Brosier, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 409 Illinois Ave Unit 1a, St Charles, IL 60174 Phone: 847-622-3812 |