| Melissa A. Frey, Lcsw Llc | |
|
310 Happ Rd Suite 201 Northfield IL 60093-3455 | |
| (773) 644-1522 | |
| Not Available |
| Full Name | Melissa A. Frey, Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 310 Happ Rd, Northfield, Illinois |
| Authorized Official Name and Position | Melissa Ann Everson (LCSW) |
| Authorized Official Contact | 7736441522 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa A. Frey, Lcsw Llc 310 Happ Rd Suite 201 Northfield IL 60093-3455 Ph: () - | Melissa A. Frey, Lcsw Llc 310 Happ Rd Suite 201 Northfield IL 60093-3455 Ph: (773) 644-1522 |
| NPI Number | 1073986006 |
|---|---|
| Provider Enumeration Date | 11/13/2015 |
| Last Update Date | 11/13/2015 |
| Medicare PECOS PAC ID | 6103127493 |
|---|---|
| Medicare Enrollment ID | O20151210000465 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073986006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149014856 (Illinois) | Primary |
| Provider Name | Judy L Cohan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154449569 PECOS PAC ID: 5092978742 Enrollment ID: I20120517000128 |
| Provider Name | Melissa A Everson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598047797 PECOS PAC ID: 1557662855 Enrollment ID: I20151210000591 |
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