Suzanne Marie Heinzl Mullins, LCSW | |
1115 Frontage Rd Ste B, O Fallon, IL 62269-2093 | |
(618) 577-0951 | |
Not Available |
Full Name | Suzanne Marie Heinzl Mullins |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1115 Frontage Rd Ste B, O Fallon, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851695027 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149.014391 (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 |
---|---|
Suzanne Marie Heinzl Mullins, LCSW 46 Grainey Dr, Glen Carbon, IL 62034-3217 Ph: (618) 577-0951 | Suzanne Marie Heinzl Mullins, LCSW 1115 Frontage Rd Ste B, O Fallon, IL 62269-2093 Ph: (618) 577-0951 |
Rachel Salazar, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 209 Woodland Ct, O Fallon, IL 62269 Phone: 303-564-0711 | |
Robert F Stoelzle, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1529 Round Top Rdg, O Fallon, IL 62269 Phone: 618-581-0224 | |
Kristin Beckstrom Radcliffe, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8 Eagle Ctr, Suite 4, O Fallon, IL 62269 Phone: 618-616-1235 | |
Renata B Sledge, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1329 Pepperidge Dr, O Fallon, IL 62269 Phone: 317-451-9298 | |
Krista Michelle Mcdonald, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 220 E State St Ste 2a, O Fallon, IL 62269 Phone: 618-402-4676 | |
Mrs. Janel Morey-sassano, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 752 Seagate Dr, O Fallon, IL 62269 Phone: 618-213-2442 Fax: 618-769-2161 | |
Ms. Ella M. Duncan, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 7 Eagle Ctr Ste B-1, O Fallon, IL 62269 Phone: 618-726-2041 Fax: 618-726-2043 |