Stephanie Samudio, | |
123 W Washington St Ste 206, Oswego, IL 60543-8350 | |
(630) 430-7374 | |
(630) 703-1717 |
Full Name | Stephanie Samudio |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 123 W Washington St Ste 206, Oswego, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023464617 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149.018486 (Illinois) | Primary |
Entity Name | Samudio Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558927442 PECOS PAC ID: 7719344167 Enrollment ID: O20230531001333 |
Mailing Address | Practice Location Address |
---|---|
Stephanie Samudio, 123 W Washington St Ste 206, Oswego, IL 60543-8350 Ph: (630) 430-7374 | Stephanie Samudio, 123 W Washington St Ste 206, Oswego, IL 60543-8350 Ph: (630) 430-7374 |
Heidi A. Solache, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 80 Templeton Dr, Oswego, IL 60543 Phone: 630-554-3456 | |
Ms. Veronica Tsu Lickfelt, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 25 E Jackson St Fl 2, Oswego, IL 60543 Phone: 773-315-7045 Fax: 630-551-2213 | |
Lauren Ogle, LCSW, CADC Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 711 Wilmore Dr, Oswego, IL 60543 Phone: 217-549-0735 | |
Ms. Lisa Renee Brooker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 E. Merchants Drive, Suite 303, Oswego, IL 60543 Phone: 630-200-3589 | |
Lori Anne Sims, LCSW,CADC Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 68 Main St, Oswego, IL 60543 Phone: 630-698-0390 | |
Mindy Burkhamer, PEL, LSW, CADC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2683 Us Highway 34, Oswego, IL 60543 Phone: 630-551-8602 |