| Cornerstone Care Inc. | |
|
645 Mchenry Ave Woodstock IL 60098-2922 | |
| (815) 334-0411 | |
| (815) 334-0413 |
| Full Name | Cornerstone Care Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 645 Mchenry Ave, Woodstock, Illinois |
| Authorized Official Name and Position | Regina Leeann Lumpkins (DIRECTOR) |
| Authorized Official Contact | 8153340411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Care Inc. 645 Mchenry Ave Woodstock IL 60098-2922 Ph: (815) 334-0411 | Cornerstone Care Inc. 645 Mchenry Ave Woodstock IL 60098-2922 Ph: (815) 334-0411 |
| NPI Number | 1770548380 |
|---|---|
| Provider Enumeration Date | 04/18/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2264842293 |
|---|---|
| Medicare Enrollment ID | O20201103002257 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770548380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Illinois) | Primary |
| 1041S0200X | Social Worker - School | (Illinois) | Primary |
| 106H00000X | Marriage & Family Therapist | (Illinois) | Primary |
| Provider Name | Jane Montgomery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386012730 PECOS PAC ID: 0941550412 Enrollment ID: I20180904001373 |
| Provider Name | Regina Lumpkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225028400 PECOS PAC ID: 4082024013 Enrollment ID: I20220302001147 |
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