Mrs Susan Elizabeth Carlson, | |
325 Il Route 2, Dixon, IL 61021-9118 | |
(815) 284-6611 | |
Not Available |
Full Name | Mrs Susan Elizabeth Carlson |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 10 Years |
Location | 325 Il Route 2, Dixon, 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 |
---|---|---|---|
1659705739 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sinnissippi Centers Inc | 3476459876 | 30 |
Entity Name | Sinnissippi Centers Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407143837 PECOS PAC ID: 3476459876 Enrollment ID: O20031208000895 |
Mailing Address | Practice Location Address |
---|---|
Mrs Susan Elizabeth Carlson, 455 River Bluff Dr, Dixon, IL 61021-8767 Ph: (815) 973-3311 | Mrs Susan Elizabeth Carlson, 325 Il Route 2, Dixon, IL 61021-9118 Ph: (815) 284-6611 |
Michelle Gonzalez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 322 Depot Ave, Dixon, IL 61021 Phone: 815-288-6057 | |
Robert Lovus Dillon Ii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 Il Route 2, Dixon, IL 61021 Phone: 815-284-9380 | |
Rae Lynn Metzler8, Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 Illinois Rt 2, Dixon, IL 61021 Phone: 815-284-6611 | |
Ms. Leigh Terrell, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 Il Route 2, Dixon, IL 61021 Phone: 815-284-6611 Fax: 815-284-6598 | |
Stephanie Marie Binkley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 Il Route 2, Dixon, IL 61021 Phone: 815-284-6611 | |
Genevieve Gassner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 Illinois Rt 2, Dixon, IL 61021 Phone: 815-284-6611 | |
Megan Koch, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 Il Route 2, Dixon, IL 61021 Phone: 815-284-6611 |