Mackenzie James Dralle, LCSW | |
971 Golf Course Rd Apt 8, Crystal Lake, IL 60014-8814 | |
(847) 732-0922 | |
Not Available |
Full Name | Mackenzie James Dralle |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 971 Golf Course Rd Apt 8, Crystal Lake, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194594481 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149.025433 (Illinois) | Primary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220414000139 |
Mailing Address | Practice Location Address |
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Mackenzie James Dralle, LCSW 971 Golf Course Rd Apt 8, Crystal Lake, IL 60014-8814 Ph: (847) 732-0922 | Mackenzie James Dralle, LCSW 971 Golf Course Rd Apt 8, Crystal Lake, IL 60014-8814 Ph: (847) 732-0922 |
Ms. Barbara A Ladd, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 Pyott Rd, Suite 101, Crystal Lake, IL 60014 Phone: 815-444-8604 Fax: 815-444-8624 | |
Cheryl Barnhart, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 331 Maplewood Ln, Crystal Lake, IL 60014 Phone: 815-404-8184 | |
Sara Panke, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1387 Parkridge Ct, Crystal Lake, IL 60014 Phone: 309-256-5457 | |
Mr. Donald E Jones, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 100 N Walkup Ave, Crystal Lake, IL 60014 Phone: 815-444-1090 Fax: 815-788-1345 | |
Stacey A Price, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 72 Elm St, Crystal Lake, IL 60014 Phone: 815-353-0358 | |
Ms. Janet N. Myers, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 333 Commerce Dr, Suite 275, Crystal Lake, IL 60014 Phone: 847-263-1269 Fax: 847-263-1310 | |
Ann Marie Sumpter, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Myers Counseling Group, 300 Memorial Suite 200, Crystal Lake, IL 60014 Phone: 847-263-1269 Fax: 847-263-1310 |