Ms Samantha Anne Miemczewski, LCPC | |
3805 E Main St Ste M, St Charles, IL 60174-2487 | |
(630) 305-5118 | |
Not Available |
Full Name | Ms Samantha Anne Miemczewski |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 3805 E Main St Ste M, St Charles, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033456348 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | 180012163 (Illinois) | Primary |
Entity Name | Northshore University Healthsystem Faculty Practice Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
Mailing Address | Practice Location Address |
---|---|
Ms Samantha Anne Miemczewski, LCPC 3805 E Main St Ste M, St Charles, IL 60174-2487 Ph: () - | Ms Samantha Anne Miemczewski, LCPC 3805 E Main St Ste M, St Charles, IL 60174-2487 Ph: (630) 305-5118 |
Lauren Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 41w400 Silver Glen Rd, St Charles, IL 60175 Phone: 855-740-1921 | |
Dr. Christine R. Hibbard, ED.D, L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1121 E Main St, Suite 320, St Charles, IL 60174 Phone: 630-584-0642 Fax: 630-365-2478 | |
Kyle James Smith, LCPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 1120 E Main St, Suite 201, St Charles, IL 60174 Phone: 630-377-6613 Fax: 630-377-6225 | |
Ms. Edith Wirtz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 E Main St, St Charles, IL 60174 Phone: 630-587-3777 | |
Dr. David J. Norton, PH.D. Counselor Medicare: Medicare Enrolled Practice Location: 1120 E Main St, St Charles, St Charles, IL 60174 Phone: 630-377-6613 Fax: 630-377-6225 | |
Caitlin Lake, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2560 Foxfield Rd Ste 320, St Charles, IL 60174 Phone: 630-222-7375 |