Katherine Puckett, PHD, LCSW is a
Social Worker - Clinical based in Zion, Illinois. Katherine Puckett is licensed to practice in Illinois (license number 149.007061) and her current practice location is
2520 Elisha Ave, Zion, Illinois. She can be reached at her office (for appointments etc.) via phone at
(847) 872-6450.
NPI number for Katherine Puckett is 1982052379 and her current mailing address is 2520 Elisha Ave, Zion, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1982052379.
Healthcare Provider's Profile
Full Name | Katherine Puckett |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 2520 Elisha Ave, Zion, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1982052379
- Provider Enumeration Date: 05/26/2016
- Last Update Date: 05/26/2016
Medical Identifiers
Medical identifiers for Katherine Puckett such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982052379 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 149.007061 (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. Katherine Puckett 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 |
Katherine Puckett, PHD, LCSW 2520 Elisha Ave, Zion, IL 60099-2676 Ph: (847) 872-6450 | Katherine Puckett, PHD, LCSW 2520 Elisha Ave, Zion, IL 60099-2676 Ph: (847) 872-6450 |
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