| Alderson Family Connections, Pc | |
|
16162 Ellis Ave # 1n South Holland IL 60473-1700 | |
| (708) 990-6090 | |
| (708) 331-9417 |
| Full Name | Alderson Family Connections, Pc |
|---|---|
| Speciality | Social Worker |
| Location | 16162 Ellis Ave # 1n, South Holland, Illinois |
| Authorized Official Name and Position | Kimberly A Alderson (PRESIDENT/CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 7089906090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alderson Family Connections, Pc 16162 Ellis Ave # 1n South Holland IL 60473-1700 Ph: (708) 990-6090 | Alderson Family Connections, Pc 16162 Ellis Ave # 1n South Holland IL 60473-1700 Ph: (708) 990-6090 |
| NPI Number | 1477918886 |
|---|---|
| Provider Enumeration Date | 12/30/2015 |
| Last Update Date | 03/13/2023 |
| Certification Date | 03/13/2023 |
| Medicare PECOS PAC ID | 9537570312 |
|---|---|
| Medicare Enrollment ID | O20210113001094 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477918886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | 149.010280 (Illinois) | Secondary |
| Provider Name | Kimberly A Alderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760653497 PECOS PAC ID: 4486947009 Enrollment ID: I20160720000221 |
Help Llc South Suburban Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 E 162nd St Ste 103, South Holland, IL 60473 Phone: 773-819-5504 | |
Cornerstone Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 530 E 162nd St, South Holland, IL 60473 Phone: 815-727-6666 | |
Ican Community Services Inc. Nfp Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 15475 S Park Ave, Suite 109, South Holland, IL 60473 Phone: 708-596-5680 | |
Sherrie C. Godbolt Md Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15475 S Park Ave, Suite 111, South Holland, IL 60473 Phone: 708-362-5084 Fax: 708-596-6985 | |
Distinctively Me Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 33 W 155th Pl, South Holland, IL 60473 Phone: 708-730-2340 | |
The Link And Option Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 924 E 162nd St Ste A, South Holland, IL 60473 Phone: 708-331-8111 Fax: 708-331-8088 | |
Total Care And Wellness Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16445 Michigan Ave, South Holland, IL 60473 Phone: 708-639-8878 |