April D. Carlson, Msw, Lcsw, Llc | |
445 Jackson Ave Suite 206 Naperville IL 60540-5256 | |
(630) 420-2596 | |
(630) 420-2796 |
Full Name | April D. Carlson, Msw, Lcsw, Llc |
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Speciality | Social Worker |
Location | 445 Jackson Ave, Naperville, Illinois |
Authorized Official Name and Position | April D. Carlson (PRESIDENT) |
Authorized Official Contact | 6304202596 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
April D. Carlson, Msw, Lcsw, Llc 445 Jackson Ave Suite 206 Naperville IL 60540-5256 Ph: (630) 420-2596 | April D. Carlson, Msw, Lcsw, Llc 445 Jackson Ave Suite 206 Naperville IL 60540-5256 Ph: (630) 420-2596 |
NPI Number | 1306230800 |
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Provider Enumeration Date | 03/23/2015 |
Last Update Date | 03/23/2015 |
Medicare PECOS PAC ID | 1850666082 |
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Medicare Enrollment ID | O20171013001428 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306230800 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149.001225 (Illinois) | Primary |
Provider Name | April D Carlson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1114147956 PECOS PAC ID: 8022374529 Enrollment ID: I20171116002181 |
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