Gina Baldacci, Lcsw, Llc | |
231 Longridge Dr Bloomingdale IL 60108 | |
(847) 450-7770 | |
Not Available |
Full Name | Gina Baldacci, Lcsw, Llc |
---|---|
Speciality | Community/Behavioral Health |
Location | 231 Longridge Dr, Bloomingdale, Illinois |
Authorized Official Name and Position | Gina Baldacci (OWNER PSYCHOTHERAPIST) |
Authorized Official Contact | 7737322985 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Gina Baldacci, Lcsw, Llc 231 Longridge Dr Bloomingdale IL 60108-1417 Ph: (773) 732-2985 | Gina Baldacci, Lcsw, Llc 231 Longridge Dr Bloomingdale IL 60108 Ph: (847) 450-7770 |
NPI Number | 1437758711 |
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Provider Enumeration Date | 10/19/2020 |
Last Update Date | 10/24/2020 |
Certification Date | 10/24/2020 |
Medicare PECOS PAC ID | 8426462839 |
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Medicare Enrollment ID | O20210126002958 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437758711 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Gina Baldacci |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1922549559 PECOS PAC ID: 9335553742 Enrollment ID: I20210126003013 |
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