Traci Midnight, LCSW | |
2428 Chartres St, La Salle, IL 61301-1107 | |
(815) 780-8765 | |
Not Available |
Full Name | Traci Midnight |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 22 Years |
Location | 2428 Chartres St, La Salle, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528503018 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149.016745 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Life Balance Counseling And Wellness Inc | 8325397904 | 7 |
Entity Name | Illinois Valley Counseling Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134568249 PECOS PAC ID: 0244467066 Enrollment ID: O20131224000001 |
Entity Name | Life Balance Counseling And Wellness Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912409681 PECOS PAC ID: 8325397904 Enrollment ID: O20180814004194 |
Mailing Address | Practice Location Address |
---|---|
Traci Midnight, LCSW 1738 W Addison St Apt 3, Chicago, IL 60613-4222 Ph: (619) 708-0581 | Traci Midnight, LCSW 2428 Chartres St, La Salle, IL 61301-1107 Ph: (815) 780-8765 |
Mrs. Michal Y Goldstein, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2970 Chartres St, La Salle, IL 61301 Phone: 815-223-9678 | |
Nicole Heather Tonioni, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2428 Chartres St, La Salle, IL 61301 Phone: 815-780-8765 | |
Mr. Shawn Wayne Slagle, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2970 Chartres St, La Salle, IL 61301 Phone: 815-223-9678 Fax: 815-223-9683 | |
Ronda Ketner, L.C.S.W Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2960 Chartres St, La Salle, IL 61301 Phone: 815-224-1610 | |
Jani Hurst, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2428 Chartres St, La Salle, IL 61301 Phone: 815-780-8765 | |
David Lee Martin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2960 Chartres St, La Salle, IL 61301 Phone: 815-224-1610 | |
Ms. Kimberly Forristall, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2960 Chartres St, La Salle, IL 61301 Phone: 815-224-1610 Fax: 815-223-1634 |