| Rachel Zajicek Lcsw | |
|
310 N Hammes Suite 201a Joliet IL 60435-8127 | |
| (630) 423-6195 | |
| (815) 768-4254 |
| Full Name | Rachel Zajicek Lcsw |
|---|---|
| Speciality | Social Worker |
| Location | 310 N Hammes Suite 201a, Joliet, Illinois |
| Authorized Official Name and Position | Rachel Zajicek (LCSW) |
| Authorized Official Contact | 6304236195 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rachel Zajicek Lcsw 310 N Hammes Suite 201a Joliet IL 60435-8127 Ph: () - | Rachel Zajicek Lcsw 310 N Hammes Suite 201a Joliet IL 60435-8127 Ph: (630) 423-6195 |
| NPI Number | 1134905458 |
|---|---|
| Provider Enumeration Date | 09/01/2023 |
| Last Update Date | 12/14/2023 |
| Certification Date | 12/14/2023 |
| Medicare PECOS PAC ID | 5799121539 |
|---|---|
| Medicare Enrollment ID | O20240314002679 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134905458 | NPI | - | NPPES |
| 1205255734 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Rachel Diana Zajicek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205255734 PECOS PAC ID: 4284853243 Enrollment ID: I20140924001188 |
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