| Debbie Gross, Lcsw Ltd. | |
|
3255 N Arlington Heights Rd Suite 502 Arlington Heights IL 60004-1586 | |
| (847) 253-5352 | |
| (847) 537-7941 |
| Full Name | Debbie Gross, Lcsw Ltd. |
|---|---|
| Speciality | Social Worker |
| Location | 3255 N Arlington Heights Rd, Arlington Heights, Illinois |
| Authorized Official Name and Position | Debbie Gross (PRESIDENT) |
| Authorized Official Contact | 8472535352 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Debbie Gross, Lcsw Ltd. 3255 N Arlington Heights Rd Suite 502 Arlington Heights IL 60004-1586 Ph: (847) 253-5352 | Debbie Gross, Lcsw Ltd. 3255 N Arlington Heights Rd Suite 502 Arlington Heights IL 60004-1586 Ph: (847) 253-5352 |
| NPI Number | 1497164644 |
|---|---|
| Provider Enumeration Date | 08/12/2014 |
| Last Update Date | 08/12/2014 |
| Medicare PECOS PAC ID | 1456781632 |
|---|---|
| Medicare Enrollment ID | O20200501000983 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497164644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149002488 (Illinois) | Primary |
| Provider Name | Deborah L Gross |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295826162 PECOS PAC ID: 8628408804 Enrollment ID: I20200501001169 |
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