| Bmsc Hi Llc | |
|
10204 Bode St Ste B Plainfield IL 60585-9813 | |
| (855) 241-7160 | |
| (954) 324-8354 |
| Full Name | Bmsc Hi Llc |
|---|---|
| Speciality | Social Worker |
| Location | 10204 Bode St Ste B, Plainfield, Illinois |
| Authorized Official Name and Position | Melanie Donohue (OWNER) |
| Authorized Official Contact | 8552417160 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bmsc Hi Llc 10204 Bode St Ste B Plainfield IL 60585-9813 Ph: (855) 241-7160 | Bmsc Hi Llc 10204 Bode St Ste B Plainfield IL 60585-9813 Ph: (855) 241-7160 |
| NPI Number | 1831611805 |
|---|---|
| Provider Enumeration Date | 07/12/2017 |
| Last Update Date | 05/18/2021 |
| Certification Date | 05/18/2021 |
| Medicare PECOS PAC ID | 4385917533 |
|---|---|
| Medicare Enrollment ID | O20170908003193 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831611805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kathy Desouza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649619040 PECOS PAC ID: 4183847478 Enrollment ID: I20140513001579 |
| Provider Name | Kathleen Diane Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598026122 PECOS PAC ID: 2860814597 Enrollment ID: I20210408000488 |
| Provider Name | Spring Peabody |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699396713 PECOS PAC ID: 1850700626 Enrollment ID: I20210616003211 |
| Provider Name | Melissa Anne Hoskins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760738777 PECOS PAC ID: 5193098150 Enrollment ID: I20220819000783 |
| Provider Name | Zachary M Wolf |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497466288 PECOS PAC ID: 5890169296 Enrollment ID: I20230327002141 |
| Provider Name | Kristen Benevides |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588441067 PECOS PAC ID: 8921455890 Enrollment ID: I20231114003388 |
| Provider Name | Nicole Woodson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497431860 PECOS PAC ID: 3678921004 Enrollment ID: I20231127000584 |
| Provider Name | Brandie Nacnac |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548026073 PECOS PAC ID: 4981045184 Enrollment ID: I20240517001986 |
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