Shawna Sapp, | |
16107 Lasalle Street, South Holland, IL 60473 | |
(800) 361-6880 | |
(708) 845-5505 |
Full Name | Shawna Sapp |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 16107 Lasalle Street, South Holland, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619356540 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 34007741A (Indiana) | Secondary |
1041C0700X | Social Worker - Clinical | 149.018990 (Illinois) | Primary |
Entity Name | Chicago Christian Counseling Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083664510 PECOS PAC ID: 1052395258 Enrollment ID: O20040615001668 |
Entity Name | Midwest Post Acute Care Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083012074 PECOS PAC ID: 0143547117 Enrollment ID: O20150401000634 |
Mailing Address | Practice Location Address |
---|---|
Shawna Sapp, 15127 S 73rd Ave, Suite G, Orland Park, IL 60462-4398 Ph: (800) 361-6880 | Shawna Sapp, 16107 Lasalle Street, South Holland, IL 60473 Ph: (800) 361-6880 |
Myra D Staples, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 430 East 167th Street, South Holland, IL 60473 Phone: 708-385-4258 | |
Mr. Johnny White, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 15663 Kimbark Ave, South Holland, IL 60473 Phone: 630-747-4498 | |
Daroncia M Lowe, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 100 W 162nd St, South Holland, IL 60473 Phone: 708-730-2200 | |
Lakisha Mitchell, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17148 Evans Dr, South Holland, IL 60473 Phone: 708-515-8366 | |
Betsy Colvin, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 16057 Dobson Avenue, South Holland, IL 60473 Phone: 708-638-9648 | |
Mr. Thomas C Reed, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16284 Prince Dr, South Holland, IL 60473 Phone: 708-333-4357 Fax: 708-331-8670 | |
Ms. Froncell Childred Kirkling, LCSW MPH Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17151 South Cornell, South Holland, IL 10473 Phone: 708-596-8447 Fax: 708-825-9649 |