David Reed Lysakowski, LCSW is a
Social Worker - Clinical based in Centreville, Illinois. David Reed Lysakowski is licensed to practice in Illinois (license number 149009090) and his current practice location is
5900 Bond Ave, Centreville, Illinois. He can be reached at his office (for appointments etc.) via phone at
(619) 332-5302.
NPI number for David Reed Lysakowski is 1245816826 and his current mailing address is 5900 Bond Ave, Centreville, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1245816826.
Healthcare Provider's Profile
Full Name | David Reed Lysakowski |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 5900 Bond Ave, Centreville, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1245816826
- Provider Enumeration Date: 03/23/2021
- Last Update Date: 03/23/2021
Medical Identifiers
Medical identifiers for David Reed Lysakowski such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245816826 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 149009090 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. David Reed Lysakowski is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
David Reed Lysakowski, LCSW 5900 Bond Ave, Centreville, IL 62207-2326 Ph: (619) 332-5302 | David Reed Lysakowski, LCSW 5900 Bond Ave, Centreville, IL 62207-2326 Ph: (619) 332-5302 |
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