| Henry Innocente, LCSW | |
|
9845 W Roosevelt Rd, Westchester, IL 60154-2758 | |
| (708) 681-2325 | |
| (708) 681-4738 |
| Full Name | Henry Innocente |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 9845 W Roosevelt Rd, Westchester, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568939668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149020392 (Illinois) | Primary |
| Entity Name | Access Community Health Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982783692 PECOS PAC ID: 9537076112 Enrollment ID: O20031204000985 |
| Mailing Address | Practice Location Address |
|---|---|
| Henry Innocente, LCSW 9845 W Roosevelt Rd, Westchester, IL 60154-2758 Ph: (708) 681-2325 | Henry Innocente, LCSW 9845 W Roosevelt Rd, Westchester, IL 60154-2758 Ph: (708) 681-2325 |
Angela Eichinger, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2400 Downing Ave, Westchester, IL 60154 Phone: 708-562-1509 | |
Mrs. Sara Moody-fink, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Westbrook Corporate Ctr Ste 300, Westchester, IL 60154 Phone: 866-949-0108 | |
Mr. Robert David Smola, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1600 Westchester Blvd, Westchester, IL 60154 Phone: 708-574-8980 Fax: 708-680-3122 | |
Ms. Anne Elizabeth Mirza, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1 Westbrook Corporate Ctr Ste 300, Westchester, IL 60154 Phone: 312-945-8594 | |
Katherine A. Segal, M.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9845 W Roosevelt Rd, Westchester, IL 60154 Phone: 708-681-2325 | |
Lisa Muenchow, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1412 Manchester Ave, Westchester, IL 60154 Phone: 708-846-9891 |