Lara M Bergstedt, LCSW | |
323 W Mulberry St, Watseka, IL 60970-1568 | |
(815) 432-5241 | |
Not Available |
Full Name | Lara M Bergstedt |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 323 W Mulberry St, Watseka, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1811125974 | NPI | - | NPPES |
Entity Name | Lb Counseling And Consulting Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770117293 PECOS PAC ID: 4183086424 Enrollment ID: O20230817002266 |
Mailing Address | Practice Location Address |
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Lara M Bergstedt, LCSW 3446 191st St, Lansing, IL 60438-3848 Ph: (708) 837-8377 | Lara M Bergstedt, LCSW 323 W Mulberry St, Watseka, IL 60970-1568 Ph: (815) 432-5241 |
Mrs. Susan Kay Garner, LCSW, CADC, MISA II Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 323 W Mulberry St, Watseka, IL 60970 Phone: 815-432-5241 Fax: 815-432-4537 | |
Evan M Lerman, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 323 W Mulberry St, Watseka, IL 60970 Phone: 815-432-5241 Fax: 815-432-4537 | |
Mr. William Edward Johnston Ii, MSW, ACSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 323 W Mulberry St, Watseka, IL 60970 Phone: 815-432-5241 Fax: 815-432-4537 | |
Jolene A Foster, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 806 E Walnut St Ste A, Watseka, IL 60970 Phone: 815-432-1078 | |
Barbara Trist, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 323 W Mulberry St, Watseka, IL 60970 Phone: 815-432-5241 Fax: 815-432-4537 | |
Traci Lynn Bishop, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 323 W Mulberry St, Watseka, IL 60970 Phone: 815-432-5241 Fax: 815-432-4537 |