| Julie Schwebke Lcsw, Llc | |
|
6975 Redansa Dr Rockford IL 61108-1201 | |
| (815) 398-7000 | |
| Not Available |
| Full Name | Julie Schwebke Lcsw, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6975 Redansa Dr, Rockford, Illinois |
| Authorized Official Name and Position | Julie Ann Schwebke (OWNER) |
| Authorized Official Contact | 8152896817 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Julie Schwebke Lcsw, Llc 16721 Ramsey Rd Caledonia IL 61011-9538 Ph: (815) 289-6817 | Julie Schwebke Lcsw, Llc 6975 Redansa Dr Rockford IL 61108-1201 Ph: (815) 398-7000 |
| NPI Number | 1255041695 |
|---|---|
| Provider Enumeration Date | 11/28/2022 |
| Last Update Date | 02/07/2023 |
| Certification Date | 02/07/2023 |
| Medicare PECOS PAC ID | 8224491196 |
|---|---|
| Medicare Enrollment ID | O20230824002371 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255041695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Julie Ann Schwebke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245948876 PECOS PAC ID: 9133582000 Enrollment ID: I20230824002464 |
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