| Bethany Ricciardi, LCSW | |
|
1125 N 9th St, Breese, IL 62230-1367 | |
| (618) 570-2090 | |
| Not Available |
| Full Name | Bethany Ricciardi |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1125 N 9th St, Breese, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538010012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.022743 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Bethany Ricciardi, LCSW 1125 N 9th St, Breese, IL 62230-1367 Ph: (618) 570-2090 | Bethany Ricciardi, LCSW 1125 N 9th St, Breese, IL 62230-1367 Ph: (618) 570-2090 |
Mrs. Christina R Diesen, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 231 N Main St, Breese, IL 62230 Phone: 618-322-6424 Fax: 618-227-8227 | |
Fred Charles Boch, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9401 Holy Cross Ln, Suite 112, Breese, IL 62230 Phone: 618-526-7271 Fax: 618-526-7313 | |
Renee Keller, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 10551 Vonder Haar Ln, Breese, IL 62230 Phone: 618-520-3339 |