Teresa Nan Maidak, LCSW is a
Social Worker - Clinical based in Thomson, Illinois. Teresa Nan Maidak is licensed to practice in Illinois (license number 149.012739) and her current practice location is
2511 Market St, Thomson, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 718-0237.
NPI number for Teresa Nan Maidak is 1972295517 and her current mailing address is 2511 Market St, Thomson, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972295517.
Healthcare Provider's Profile
Full Name | Teresa Nan Maidak |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 2511 Market St, Thomson, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1972295517
- Provider Enumeration Date: 05/23/2023
- Last Update Date: 05/23/2023
Medical Identifiers
Medical identifiers for Teresa Nan Maidak such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972295517 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 149.012739 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Teresa Nan Maidak is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Teresa Nan Maidak, LCSW 2511 Market St, Thomson, IL 61285-8525 Ph: (815) 718-0237 | Teresa Nan Maidak, LCSW 2511 Market St, Thomson, IL 61285-8525 Ph: (815) 718-0237 |
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