| Kyle Jane Kroha, LCSW | |
| 
					1510 W Ottawa Rd, Paxton, IL 60957-4090  | |
| (217) 379-4302 | |
| (217) 817-0379 | 
| Full Name | Kyle Jane Kroha | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 1510 W Ottawa Rd, Paxton, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1376296020 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149027809 (Illinois) | Primary | 
| Entity Name | Community Resource & Counseling Center Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1972567261 PECOS PAC ID: 6608861174 Enrollment ID: O20040415000893  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kyle Jane Kroha, LCSW Po Box 162, Paxton, IL 60957-0162 Ph: (217) 379-4302  | Kyle Jane Kroha, LCSW 1510 W Ottawa Rd, Paxton, IL 60957-4090 Ph: (217) 379-4302  | 
Mr. Jason N Casteel, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 650 E State St, Paxton, IL 60957 Phone: 217-379-0313 Fax: 217-579-6388  | |
Deborah Elizabeth Dorsey,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1510 W Ottawa, Paxton, IL 60957 Phone: 217-379-4302 Fax: 217-379-4306  | |
Amy Cabbage, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1510 W Ottawa, Paxton, IL 60957 Phone: 217-379-4302 Fax: 217-379-4306  | |
Mrs. Ann A Stout, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1510 W Ohawa, Paxton, IL 60957 Phone: 217-379-4302 Fax: 217-379-4306  | |
Jillian Kelly Schlomas,  Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1510 W Ottawa Rc, Paxton, IL 60918 Phone: 217-379-4302  | |
Carol Schrepfer Colburn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1510 W Ottowa, Paxton, IL 60957 Phone: 217-379-4302 Fax: 217-379-4306  |