| Samaritan Counseling Center Of The Northwest Suburbs | |
|
800 Hart Rd Suite 250 Barrington IL 60010-2671 | |
| (847) 382-4673 | |
| Not Available |
| Full Name | Samaritan Counseling Center Of The Northwest Suburbs |
|---|---|
| Speciality | Counselor |
| Location | 800 Hart Rd, Barrington, Illinois |
| Authorized Official Name and Position | Lora J Wiens (LICENSED CLINICAL PROFESSIONAL COUN) |
| Authorized Official Contact | 8473824673 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samaritan Counseling Center Of The Northwest Suburbs 800 Hart Rd Suite 250 Barrington IL 60010-2671 Ph: (847) 382-4673 | Samaritan Counseling Center Of The Northwest Suburbs 800 Hart Rd Suite 250 Barrington IL 60010-2671 Ph: (847) 382-4673 |
| NPI Number | 1063659423 |
|---|---|
| Provider Enumeration Date | 01/07/2009 |
| Last Update Date | 01/07/2009 |
| Medicare PECOS PAC ID | 8729132600 |
|---|---|
| Medicare Enrollment ID | O20090811000633 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063659423 | NPI | - | NPPES |
| Provider Name | Lora J Wiens |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275795957 PECOS PAC ID: 8527240514 Enrollment ID: I20110311000800 |
| Provider Name | Nicole S Odea |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992956619 PECOS PAC ID: 7012184104 Enrollment ID: I20120112000341 |
| Provider Name | Daniel J Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598789885 PECOS PAC ID: 4183882145 Enrollment ID: I20120222000025 |
| Provider Name | Jaime L Altman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083735732 PECOS PAC ID: 5496915191 Enrollment ID: I20120404000073 |
| Provider Name | Carol N Irons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982013926 PECOS PAC ID: 3274755426 Enrollment ID: I20141104001128 |
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