| Anthony Pellegrini, LCSW | |
|
3903 Indianapolis Blvd, East Chicago, IN 46312-2555 | |
| (219) 392-6001 | |
| (219) 392-6998 |
| Full Name | Anthony Pellegrini |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 24 Years |
| Location | 3903 Indianapolis Blvd, East Chicago, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932225497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34005712A (Indiana) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 87000261A (Indiana) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southlake Community Mental Health Center Inc | 5991600355 | 37 |
| Duneland Counseling Center Inc | 7810958949 | 6 |
| Entity Name | Southlake Community Mental Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821081290 PECOS PAC ID: 5991600355 Enrollment ID: O20031231000117 |
| Entity Name | Duneland Counseling Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528181476 PECOS PAC ID: 7810958949 Enrollment ID: O20041022000201 |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony Pellegrini, LCSW 8400 Louisiana St, Merrillville, IN 46410-6385 Ph: (219) 757-1928 | Anthony Pellegrini, LCSW 3903 Indianapolis Blvd, East Chicago, IN 46312-2555 Ph: (219) 392-6001 |
Ms. Cynthia R Bejster, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3903 Indianapolis Blvd, East Chicago, IN 46312 Phone: 219-392-6065 Fax: 219-392-6998 | |
Gary Mitchell Ronjak, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3903 Indianapolis Blvd, East Chicago, IN 46312 Phone: 219-398-7050 Fax: 219-392-6998 | |
Tonya L. Lindsay, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Po Box 3007, East Chicago, IN 46312 Phone: 219-218-3332 | |
Angelia Marie Erb, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3903 Indianapolis Blvd, East Chicago, IN 46312 Phone: 219-398-7050 Fax: 219-392-6998 | |
Ms. Juanita C Matlock, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4321 Fir St, East Chicago, IN 46312 Phone: 219-392-7469 | |
Rondi Wightman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3903 Indianapolis Blvd, East Chicago, IN 46312 Phone: 219-398-2555 Fax: 219-757-1950 | |
Angela C Tucker-griffith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4321 Fir St, East Chicago, IN 46312 Phone: 219-392-7466 Fax: 219-392-7470 |