Jacob Luke Colling, QMHA is a
Social Worker - Clinical based in Chicago, Illinois. Jacob Luke Colling is licensed to practice in * (Not Available) (license number ) and his current practice location is
1700 W Irving Park Rd Ste 301, Chicago, Illinois. He can be reached at his office (for appointments etc.) via phone at
(971) 238-9722.
NPI number for Jacob Luke Colling is 1770139065 and his current mailing address is 1700 W Irving Park Rd Ste 301, Chicago, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1770139065.
Healthcare Provider's Profile
| Full Name | Jacob Luke Colling |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 1700 W Irving Park Rd Ste 301, Chicago, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1770139065
- Provider Enumeration Date: 08/13/2019
- Last Update Date: 09/26/2024
Medical Identifiers
Medical identifiers for Jacob Luke Colling such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770139065 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 372600000X | Adult Companion | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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. Jacob Luke Colling 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 |
|---|
Jacob Luke Colling, QMHA
1700 W Irving Park Rd Ste 301,
Chicago, IL 60613-2462
Ph: () - | Jacob Luke Colling, QMHA
1700 W Irving Park Rd Ste 301,
Chicago, IL 60613-2462
Ph: (971) 238-9722 |
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