| Kyle Niewold, | |
|
336 S Warwick Ave, Westmont, IL 60559-2061 | |
| (630) 297-5823 | |
| Not Available |
| Full Name | Kyle Niewold |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 336 S Warwick Ave, Westmont, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821805813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149027045 (Illinois) | Primary |
| Entity Name | Live Well Counseling Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881055838 PECOS PAC ID: 5991002420 Enrollment ID: O20160329002203 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Niewold, 336 S Warwick Ave, Westmont, IL 60559-2061 Ph: (630) 297-5823 | Kyle Niewold, 336 S Warwick Ave, Westmont, IL 60559-2061 Ph: (630) 297-5823 |
Brook J Griffith, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 750 Oakmont Ln, Westmont, IL 60559 Phone: 877-552-6672 Fax: 224-306-1878 | |
Cortney E Sears, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 750 Oakmont Ln, Westmont, IL 60559 Phone: 224-306-1879 Fax: 224-306-1878 | |
Karen A Pecha, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 999 Oakmont Plaza Dr, 100, Westmont, IL 60559 Phone: 630-850-2120 | |
Kathleen Daly, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 422 N Cass Ave, Westmont, IL 60559 Phone: 630-682-7400 | |
Samantha Matheny Kleven, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 724 Oakwood Dr, Westmont, IL 60559 Phone: 952-237-2952 | |
Elizabeth Ryan Racanelli, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 825 N Cass Ave Ste 115, Westmont, IL 60559 Phone: 708-872-7620 | |
Natalie Dreher, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 777 Oakmont Ln, Westmont, IL 60559 Phone: 773-432-6512 |