Marijke A Sommer, | |
2025 Washington St, Waukegan, IL 60085-5131 | |
(847) 360-1065 | |
Not Available |
Full Name | Marijke A Sommer |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2025 Washington St, Waukegan, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114577285 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Secondary |
104100000X | Social Worker | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 149026184 (Illinois) | Primary |
Entity Name | The Josselyn Center Nfp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073548640 PECOS PAC ID: 0840289740 Enrollment ID: O20050525000069 |
Mailing Address | Practice Location Address |
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Marijke A Sommer, 415 Washington St, Waukegan, IL 60085-5564 Ph: (847) 441-5600 | Marijke A Sommer, 2025 Washington St, Waukegan, IL 60085-5131 Ph: (847) 360-1065 |
Orly Avidor, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2400 Belvidere Rd, Waukegan, IL 60085 Phone: 847-377-8440 | |
Katrina Haywood, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3010 Grand Ave, Waukegan, IL 60085 Phone: 847-377-8296 Fax: 847-984-5689 | |
Mrs. Kathryn Nixon Foster, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 329 N Genesee St, Waukegan, IL 60085 Phone: 847-623-1730 Fax: 847-623-1733 | |
Jacqueline Marolt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3101 E Newcastle Ct, Waukegan, IL 60087 Phone: 262-891-2682 | |
Mrs. Michele L Esser, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3010 Grand Ave, Waukegan, IL 60085 Phone: 847-377-8971 Fax: 847-984-5602 | |
Mr. Eugene Carroll Marceron Jr., LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2025 Washington St, Waukegan, IL 60085 Phone: 847-360-1020 Fax: 847-360-1065 | |
Ms. Diane Marie Gorman I, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2504 Washington St, Waukegan, IL 60085 Phone: 847-692-6495 |