| Charlotte Jeanne Shuber, LCSW | |
|
34 N Island Ave Ste F, Batavia, IL 60510-1996 | |
| (630) 601-3460 | |
| (331) 422-2912 |
| Full Name | Charlotte Jeanne Shuber |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 34 N Island Ave Ste F, Batavia, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164109880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149023921 (Illinois) | Primary |
| Entity Name | Creating Space Therapy, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285232058 PECOS PAC ID: 3274948617 Enrollment ID: O20210218000100 |
| Mailing Address | Practice Location Address |
|---|---|
| Charlotte Jeanne Shuber, LCSW 34 N Island Ave Ste F, Batavia, IL 60510-1996 Ph: (630) 601-3460 | Charlotte Jeanne Shuber, LCSW 34 N Island Ave Ste F, Batavia, IL 60510-1996 Ph: (630) 601-3460 |
Mark Siekierski, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 201 Houston St, Batavia, IL 60510 Phone: 847-306-5461 | |
Shannon Daly Prahl, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 670 Winnebago Trl, Batavia, IL 60510 Phone: 630-926-5987 | |
Mrs. Jamie S Kruse, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 117 Flinn St, Batavia, IL 60510 Phone: 224-803-2295 | |
Mrs. Gayle Ann Bridger, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 478 Chestnut St, Batavia, IL 60510 Phone: 630-879-2277 | |
Ms. Roxanne Rae Willis, PHD, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 213 S Prairie St, Batavia, IL 60510 Phone: 630-947-6828 | |
Steven Welch, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 28 S Water St, Batavia, IL 60510 Phone: 630-326-5900 |