Mrs Briena Wyckstandt, LCSW | |
1300 W 2nd St, Rock Falls, IL 61071-1005 | |
(815) 626-2230 | |
Not Available |
Full Name | Mrs Briena Wyckstandt |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1300 W 2nd St, Rock Falls, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891461760 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149.023409 (Illinois) | Primary |
Entity Name | Whiteside County Community Health Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528008034 PECOS PAC ID: 4587673835 Enrollment ID: O20060413000438 |
Mailing Address | Practice Location Address |
---|---|
Mrs Briena Wyckstandt, LCSW 11459 Lyndon Rd, Morrison, IL 61270-9546 Ph: () - | Mrs Briena Wyckstandt, LCSW 1300 W 2nd St, Rock Falls, IL 61071-1005 Ph: (815) 626-2230 |
Susan Wilhelm, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1300 W 2nd St, Rock Falls, IL 61071 Phone: 815-625-2230 | |
Lisa Ann Rodriguez, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 811 E Humphrey Ave, Rock Falls, IL 61071 Phone: 815-275-0745 | |
Ms. Tracy Marie Banks-geiger, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1300 W 2nd St, Rock Falls, IL 61071 Phone: 815-626-2232 | |
Mr. Douglas Eugene Mitchem, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1600 Riverdale Rd Lot 42, Rock Falls, IL 61071 Phone: 815-441-4195 | |
David Bingaman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1300 W 2nd St, Rock Falls, IL 61071 Phone: 815-626-2230 |