| Connect Online Counseling Llc | |
|
4320 Winfield Rd Ste 200 Warrenville IL 60555-4023 | |
| (630) 410-9587 | |
| Not Available |
| Full Name | Connect Online Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4320 Winfield Rd Ste 200, Warrenville, Illinois |
| Authorized Official Name and Position | Kimberley Milton (MANAGER) |
| Authorized Official Contact | 6304109550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Connect Online Counseling Llc 1772 Melbourne Ln Aurora IL 60503-7601 Ph: (630) 410-9550 | Connect Online Counseling Llc 4320 Winfield Rd Ste 200 Warrenville IL 60555-4023 Ph: (630) 410-9587 |
| NPI Number | 1679188148 |
|---|---|
| Provider Enumeration Date | 09/11/2020 |
| Last Update Date | 12/22/2023 |
| Certification Date | 12/21/2023 |
| Medicare PECOS PAC ID | 6507278421 |
|---|---|
| Medicare Enrollment ID | O20201218000232 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679188148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jennifer L Piester |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932326816 PECOS PAC ID: 8527149673 Enrollment ID: I20080115000681 |
| Provider Name | Hannah C Jones Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154655405 PECOS PAC ID: 2567736101 Enrollment ID: I20170921000651 |
| Provider Name | Pamela J Copeland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508471590 PECOS PAC ID: 9032538665 Enrollment ID: I20201001001408 |
| Provider Name | Kimberley Milton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316447501 PECOS PAC ID: 7315359239 Enrollment ID: I20201218000253 |
| Provider Name | Amy Jo Ceshker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326631433 PECOS PAC ID: 3577979566 Enrollment ID: I20210317002442 |
| Provider Name | Krystina M Freehill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295030146 PECOS PAC ID: 6406256817 Enrollment ID: I20210616002522 |
| Provider Name | Amanda Kozlowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407359987 PECOS PAC ID: 0749668952 Enrollment ID: I20220531001681 |
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