| Connor Xavier Lucillis, LMSW | |
|
5403 Victoria Ave, Davenport, IA 52807-3925 | |
| (563) 296-0877 | |
| Not Available |
| Full Name | Connor Xavier Lucillis |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 5403 Victoria Ave, Davenport, Iowa |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629808696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 125567 (Iowa) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Connor Xavier Lucillis, LMSW 3312 Chateau Knls, Bettendorf, IA 52722-3469 Ph: (309) 507-3330 | Connor Xavier Lucillis, LMSW 5403 Victoria Ave, Davenport, IA 52807-3925 Ph: (563) 296-0877 |
Barbara J Johnson, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1441 W. Central Park Ave, Vera French Community Mental Health Center, Davenport, IA 52804 Phone: 563-888-6275 Fax: 563-884-4638 | |
Jennifer A O'hare-marker, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4455 E 56th St, Davenport, IA 52807 Phone: 563-355-2577 Fax: 563-355-4015 | |
Ms. Joni Lynn Dittmer, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 718 Bridge Ave, Davenport, IA 52803 Phone: 563-320-4395 Fax: 563-285-4014 | |
Jenna Capesius, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1441 W Central Park Ave, Davenport, IA 52804 Phone: 563-383-1900 Fax: 563-328-5690 | |
James Randall Bolton, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1441 W Central Park Ave, Davenport, IA 52804 Phone: 563-888-6275 Fax: 563-884-4638 | |
Candice J. Kundert, L.I.S.W.; L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2800 Eastern Ave, Bldg G, Davenport, IA 52803 Phone: 563-370-7995 | |
Dr. Harriet A Phelps, PSY.D, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 718 Bridge Ave, Suite 6, Davenport, IA 52803 Phone: 563-381-8088 Fax: 563-381-8077 |