| Daniela Michelle Van Pelt, LCSW | |
|
702 W Chestnut St, Bloomington, IL 61701-2814 | |
| (888) 924-3786 | |
| (309) 820-3574 |
| Full Name | Daniela Michelle Van Pelt |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 7 Years |
| Location | 702 W Chestnut St, Bloomington, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023622784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.022481 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Family Institute | 1052460466 | 9 |
| Entity Name | The Family Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417988155 PECOS PAC ID: 1052460466 Enrollment ID: O20090514000107 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniela Michelle Van Pelt, LCSW 448 Wylie Dr, Normal, IL 61761-5405 Ph: (888) 924-3786 | Daniela Michelle Van Pelt, LCSW 702 W Chestnut St, Bloomington, IL 61701-2814 Ph: (888) 924-3786 |
Hannah Deterding, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 108 W Market St, Bloomington, IL 61701 Phone: 309-827-5351 | |
Sara Fidlow, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1003 Martin Luther King Dr, Bloomington, IL 61701 Phone: 309-827-6026 | |
Jaylene Taubert, MSW LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 712 E Empire St Ste 1, Bloomington, IL 61701 Phone: 309-310-2841 | |
Zoe Jane Baker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 205 N Williamsburg Dr Ste A, Bloomington, IL 61704 Phone: 309-807-5077 | |
Beth Anne Vogel, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2810 Degarmo Dr, Bloomington, IL 61704 Phone: 309-310-6465 | |
Ms. Johanna Rayman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 W Monroe St, Suite 301, Bloomington, IL 61701 Phone: 309-310-5453 |