| Family Counseling Services Of Northern Il | |
|
631 N Longwood St Ste 103 Rockford IL 61107-4263 | |
| (815) 962-5585 | |
| (815) 962-8945 |
| Full Name | Family Counseling Services Of Northern Il |
|---|---|
| Speciality | Social Worker |
| Location | 631 N Longwood St Ste 103, Rockford, Illinois |
| Authorized Official Name and Position | Kathi Edwards (OFFICE MANAGER) |
| Authorized Official Contact | 8159625585 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Counseling Services Of Northern Il 631 N Longwood St Ste 103 Rockford IL 61107-4263 Ph: (815) 962-5585 | Family Counseling Services Of Northern Il 631 N Longwood St Ste 103 Rockford IL 61107-4263 Ph: (815) 962-5585 |
| NPI Number | 1639241748 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 10/28/2020 |
| Certification Date | 10/28/2020 |
| Medicare PECOS PAC ID | 0244305936 |
|---|---|
| Medicare Enrollment ID | O20080814000364 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639241748 | NPI | - | NPPES |
| 314780 | Other | IL | MEDICARE NEW |
| 101-19312 | Other | IL | BCBS |
| Provider Name | Kelly Finch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013020635 PECOS PAC ID: 5597713230 Enrollment ID: I20050110000162 |
| Provider Name | Susan M Razbadouski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801967351 PECOS PAC ID: 4688749377 Enrollment ID: I20080814000399 |
| Provider Name | Genevieve Maltby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649813452 PECOS PAC ID: 0244651677 Enrollment ID: I20200610002206 |
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