| Elise Joelle Johnston Dumerauf, | |
|
3620 Wesley Ave, Berwyn, IL 60402-3861 | |
| (162) 128-9576 | |
| Not Available |
| Full Name | Elise Joelle Johnston Dumerauf |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 6 Years |
| Location | 3620 Wesley Ave, Berwyn, 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 |
|---|---|---|---|
| 1508348343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149023033 (Illinois) | Primary |
| Entity Name | Wild Fern Clinical Therapy Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346084829 PECOS PAC ID: 9335689025 Enrollment ID: O20240909003144 |
| Mailing Address | Practice Location Address |
|---|---|
| Elise Joelle Johnston Dumerauf, 3620 Wesley Ave, Berwyn, IL 60402-3861 Ph: () - | Elise Joelle Johnston Dumerauf, 3620 Wesley Ave, Berwyn, IL 60402-3861 Ph: (162) 128-9576 |
Damaris Velazquez, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6201 Roosevelt Rd, Berwyn, IL 60402 Phone: 708-386-0845 | |
Ms. Helen Rose Stewart, MSW LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6918 Windsor, Berwyn, IL 60402 Phone: 708-795-4800 Fax: 708-795-4834 | |
Erika Irene Figgers, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1416 Oak Park Ave, Berwyn, IL 60402 Phone: 317-441-2291 | |
Sarah Schwarting, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6918 W Windsor Ave, Berwyn, IL 60402 Phone: 708-745-5277 | |
Alma Leticia Jimenez Tapia, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6918 W Windsor Ave, Berwyn, IL 60402 Phone: 708-995-3521 | |
Constance Upton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6918 W Windsor Ave, Berwyn, IL 60402 Phone: 331-253-7656 | |
Cara Milianti, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6918 Windsor Ave, Berwyn, IL 60402 Phone: 708-745-5277 Fax: 708-795-4834 |