| Paula Tripodi Lcsw | |
|
6735 Vistagreen Way Rockford IL 61107-5653 | |
| (815) 742-7489 | |
| Not Available |
| Full Name | Paula Tripodi Lcsw |
|---|---|
| Speciality | Social Worker |
| Location | 6735 Vistagreen Way, Rockford, Illinois |
| Authorized Official Name and Position | Paula Tripodi (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8157427489 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paula Tripodi Lcsw 6499 Palo Verde Dr Rockford IL 61114-8175 Ph: () - | Paula Tripodi Lcsw 6735 Vistagreen Way Rockford IL 61107-5653 Ph: (815) 742-7489 |
| NPI Number | 1003678749 |
|---|---|
| Provider Enumeration Date | 01/29/2024 |
| Last Update Date | 03/24/2024 |
| Certification Date | 03/24/2024 |
| Medicare PECOS PAC ID | 2769827542 |
|---|---|
| Medicare Enrollment ID | O20240302000623 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003678749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Paula Tripodi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033242060 PECOS PAC ID: 2567722390 Enrollment ID: I20240325003924 |
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