| Angela Olson, LCPC | |
|
24014 W Renwick Rd Ste 105-5, Plainfield, IL 60544-8708 | |
| (815) 200-1099 | |
| Not Available |
| Full Name | Angela Olson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 24014 W Renwick Rd Ste 105-5, Plainfield, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689721193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | 180008051 (Illinois) | Primary |
| Entity Name | Edgewood Clinical Services P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295914646 PECOS PAC ID: 3971963901 Enrollment ID: O20230721001228 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Olson, LCPC 13855 S Petersburg Dr, Plainfield, IL 60544-7078 Ph: (815) 517-8467 | Angela Olson, LCPC 24014 W Renwick Rd Ste 105-5, Plainfield, IL 60544-8708 Ph: (815) 200-1099 |
Mr. Nicholas Joseph Smith, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 24020 W Riverwalk Ct, Suite 100, Plainfield, IL 60544 Phone: 815-577-8970 | |
Dr. Byron Waller, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 12653 S Potomac Dr, Plainfield, IL 60585 Phone: 312-218-8483 | |
Mrs. Roseann Murray, MA, LCPC, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15025 S Des Plaines St, Plainfield, IL 60544 Phone: 888-428-7890 Fax: 888-428-7891 | |
Samantha Hicks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 24020 W Riverwalk Ct, #100, Plainfield, IL 60544 Phone: 815-577-8970 | |
Mr. Scott D Hendrickson, L.C.P.C Counselor Medicare: Not Enrolled in Medicare Practice Location: 13300 S Route 59 Ste B4, Plainfield, IL 60585 Phone: 815-577-8970 Fax: 815-577-8988 | |
Ms. Erin M Schicht, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15201 S Route 59, Plainfield, IL 60544 Phone: 815-514-8935 | |
Faith Kumar, M.A., L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 5005 Norwalk Ct, Plainfield, IL 60586 Phone: 773-627-3009 |