Ms Mia Ja'net Foote, LCSW | |
288 Main St, Park Forest, IL 60466-2098 | |
(312) 802-2442 | |
Not Available |
Full Name | Ms Mia Ja'net Foote |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 288 Main St, Park Forest, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427723790 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149.023516 (Illinois) | Primary |
Entity Name | Imperceptible Healing Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548032808 PECOS PAC ID: 2769820943 Enrollment ID: O20240406000521 |
Mailing Address | Practice Location Address |
---|---|
Ms Mia Ja'net Foote, LCSW Po Box 23, Crete, IL 60417-0023 Ph: (312) 802-2442 | Ms Mia Ja'net Foote, LCSW 288 Main St, Park Forest, IL 60466-2098 Ph: (312) 802-2442 |
Katherine Gardner Goetz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 Lakewood Blvd, Park Forest, IL 60466 Phone: 708-481-9799 | |
Mrs. Shirley P. Mcdonald, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 230 Main St, Park Forest, IL 60466 Phone: 708-269-3999 Fax: 708-747-3941 | |
Stephanie Michelle Shelton, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 434 Neosho St, Park Forest, IL 60466 Phone: 708-802-3618 | |
Sandra Dionne Brand, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12 Forest Wood Ln, Park Forest, IL 60466 Phone: 708-481-2842 | |
Ms. Jessica Hinterman, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 146 Chestnut St, Park Forest, IL 60466 Phone: 708-595-2960 | |
Ms. Lyia Nikole Coats, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3237 Western Ave, Park Forest, IL 60466 Phone: 708-769-0015 |